Stewart K J, Tytherleigh-Strong G, Bharathwaj S, Quaba A A
Department of Plastic and Reconstructive Surgery, Royal Hospital for Sick Children, Edinburgh, UK.
J R Coll Surg Edinb. 1999 Feb;44(1):24-30.
A series of 49 children admitted with a diagnosis of open tibial fracture was reviewed with particular regard to soft tissue management. Injuries were grouped according to the Gustilo classification. Twenty-two patients had Grade I fractures, 11 Grade II and 16 Grade III (4 Grade IIIa, 11 Grade IIIb and one Grade IIIc). Patients were managed by early lavage and debridement under general anaesthesia, followed by immobilisation. Local transposition flaps were utilised in 10 patients and provided reliable soft tissue cover. A free tissue transfer was performed in only one patient. Complications appeared to be associated with delayed involvement by plastic surgeons.
对49例诊断为开放性胫骨骨折的儿童进行了一系列回顾，特别关注软组织处理。损伤根据 Gustilo 分类进行分组。22例患者为 I 级骨折，11例为 II 级，16例为 III 级（4例 IIIa 级，11例 IIIb 级和1例 IIIc 级）。患者在全身麻醉下接受早期冲洗和清创，随后进行固定。10例患者采用局部转移皮瓣，提供了可靠的软组织覆盖。仅1例患者进行了游离组织移植。并发症似乎与整形外科医生的延迟介入有关。
