Olson Steven A, Schemitsch Emil H
Division of Orthopaedic Surgery, Duke University Medical Center, Durham, North Carolina, USA.
Instr Course Lect. 2003;52:623-31.
The treatment of open fractures of the tibial shaft continues to be a challenging problem for the orthopaedic surgeon. The basic principles of treatment for open fractures have changed little over the past decade; urgent wound débridement, early use of antibiotic therapy, skeletal stabilization, and early wound coverage remain the primary goals of treatment. However, the methods used to achieve these goals of treatment have evolved. Recent advances in the treatment of open fractures focus on the treatment of open fractures of the tibial shaft.
胫骨干开放性骨折的治疗对于骨科医生来说仍然是一个具有挑战性的问题。在过去十年中，开放性骨折的基本治疗原则变化不大；紧急伤口清创、早期使用抗生素治疗、骨骼固定以及早期伤口覆盖仍然是主要的治疗目标。然而，用于实现这些治疗目标的方法已经有所发展。开放性骨折治疗的最新进展集中在胫骨干开放性骨折的治疗上。
