足部战伤的一期外科治疗

Primary surgical treatment of war injuries of the foot.

作者信息

Nikolic D, Jovanovic Z, Vulovic R, Mladenovic M

机构信息

Clinic of Traumatology and Orthopaedics, Military Medical Academy, Crnotravska str. 17, 11000, Belgrade, Yugoslavia.

出版信息

Injury. 2000 Apr;31(3):193-7. doi: 10.1016/s0020-1383(99)00271-5.

DOI:10.1016/s0020-1383(99)00271-5

PMID:10704585

Abstract

Presented are the results of primary surgical treatment of war injuries of the foot in 250 patients wounded in the territory of former Yugoslavia in the period June 1991-October 1995. Total number of feet treated was 275. Aetiologically, the most frequent injuries were those inflicted by the effect of mine blasts (65.2%) and by bullets from firearms (30.8%). Injuries to a single foot were present in 140 (56.0%), combined injuries in 107 (42.8%) and associated with burn injuries in three (1.2%) patients. Soft tissue injuries were present in 25 (9.1%) and injuries to bone structures and joints in 250 (90.9%) feet. Injuries resulting from solid blasts were found in nine (3.2%) feet. Postoperative bone fragment stabilization was required in 115 (41.8%) feet. Stabilization was by plaster of Paris in 87 (75.6%) and by external fixation in 23 (20. 0%) feet. Amputations were performed in 73 (26.5%) feet. Covering of soft tissue and bone defects was required in 84 (33.6%) patients.

摘要

本文呈现了1991年6月至1995年10月期间在前南斯拉夫境内受伤的250例足部战伤患者的一期外科治疗结果。共治疗足部275只。从病因学上看，最常见的损伤是地雷爆炸所致（65.2%）和火器子弹所致（30.8%）。单足损伤140例（56.0%），复合伤107例（42.8%），3例（1.2%）患者合并烧伤。25只（9.1%）足部存在软组织损伤，250只（90.9%）足部存在骨结构和关节损伤。9只（3.2%）足部存在实心爆炸所致损伤。115只（41.8%）足部术后需要进行骨碎片固定。其中87只（75.6%）采用石膏固定，23只（20.0%）采用外固定。73只（26.5%）足部进行了截肢。84例（33.6%）患者需要覆盖软组织和骨缺损。