O'Meara P M
Orthop Rev. 1992 Oct;21(10):1177-85.
An open fracture is an orthopaedic emergency that can lead to devastating complications and prolonged rehabilitation. The goals of treatment are to prevent infection, achieve bone union, and restore function. The treatment should involve the use of antibiotics, repeated thorough irrigation and debridement, early fracture stabilization, early wound closure, and aggressive rehabilitation. The result of treatment is largely affected by the initial soft-tissue loss, wound contamination, fracture stability, and neurovascular status.
开放性骨折是一种骨科急症，可导致严重并发症和长期康复。治疗的目标是预防感染、实现骨愈合和恢复功能。治疗应包括使用抗生素、反复彻底冲洗和清创、早期骨折固定、早期伤口闭合以及积极的康复治疗。治疗结果在很大程度上受初始软组织损伤、伤口污染、骨折稳定性和神经血管状况的影响。
