摘要
在临床上治疗四肢长管状骨新鲜开放性骨折,仍存在着许多值得研究和探讨的问题。我院1975年至1989年,共收治资料完整的该类病人173例,获得满意效果。采用一期闭合伤口142例(占82.08%),选用内固定165例(占95.3%),伤口一期愈合率占73.4%,加2～3周内愈合的伤口,满意愈合率占89%。随访139例(占80.34%),骨愈合率占94.8%,包括畸形愈合及错位连接10.98%,骨不连接率5.2%。着重讨论了清创的彻底性,伤口闭合的条件,如何选用内固定器材、抗生素和应注意的若干问题。
From 1975 to 1989, 173 patients subjected to open fractures of long bones in limbs were hospitalized for treatment. Among them, primary closure of the wound was performed in 142 cases. open reduction and internal fixation in 165 ones. (?)mary healing of the wound accounted for 73.4%. A total of heating rate reached 89%. Follow-ups were carried out in (?) patients in which the heating rate of the fractures mciuding malunion amounted to 94.8%, with a nonunion rate only 5.(?) Based on the experiences m the treatment of the series of cases, we put stress on discussing the importance of thorogh de(?) ment. the time and conditions of the primary wound closure, selection of internal fixators and antibiotics.
出处
《中华创伤杂志》
CAS
CSCD
北大核心
1992年第1期19-20,共2页
Chinese Journal of Trauma
关键词
骨折
清创术
固定
感染
fractures, open fracture fixation, internal debridement wound infections
