Peters K M, Zilkens K W, Bartsch C
Orthopädische Klinik, RWTH Aachen.
Aktuelle Traumatol. 1992 Apr;22(2):72-5.
54 wartime trauma patients injured by bombs, shell splinters or rockets were treated between 1985 and 1989 in the Orthopaedic Clinic of RWTH Aachen. Lesions of the lower limbs were dominating (78%). Treatment was often tedious, and up to 12 operations had to be performed. In 81% one extremity was injured, in 17% two extremities were involved. 78% of the patients were already primarily treated at home, mostly by amputations. 33% of the patients suffered from bone infections at admission. Infections were mostly caused by Staphylococcus aureus or Pseudomonas aeruginosa. In 41% of all patients operative treatment for osteomyelitis was necessary (37% sequesterectomies, 44% stabilisations with fixateur externe). In advanced bone infection amputations were indispensable in 28%. In 27% of our wartime trauma patients reconstructive surgery was performed (spongiosa transplantations in 91%, stabilisation with fixateur externe in 44%). In none of our patients treated with reconstructive surgery an amputation was necessary later on.
1985年至1989年期间，亚琛工业大学骨科诊所对54名因炸弹、弹片或火箭弹受伤的战时创伤患者进行了治疗。下肢损伤占主导（78%）。治疗往往很繁琐，有时不得不进行多达12次手术。81%的患者有一个肢体受伤，17%的患者两个肢体受累。78%的患者最初是在家中接受治疗的，多数是截肢。33%的患者入院时患有骨感染。感染大多由金黄色葡萄球菌或铜绿假单胞菌引起。41%的患者需要进行骨髓炎手术治疗（37%进行死骨切除术，44%采用外固定架固定）。在晚期骨感染患者中，28%必须进行截肢。27%的战时创伤患者接受了重建手术（91%进行松质骨移植，44%采用外固定架固定）。接受重建手术治疗的患者后来均无需截肢。
