Gebhard F, Hartel W
Chirurgische Abteilung Bundeswehrkrankenhauses Ulm/Donau.
Unfallchirurg. 1992 Jul;95(7):335-8.
High-velocity bullits can cause severe blast injuries with shattering and defects of the large bones. Initial external fixation is followed by rebuilding of the bone, which is difficult due to concomitant infection, poor revascularization and lack of a suitable bone bed. A case report of an injured African soldier shows the follow-up and difficulties of reconstruction of the shattered humerus by repeated spongious bone grafting. After successful remodeling of the bone, external fixation is followed by ASIF dynamic compression-plate osteosynthesis.
高速子弹可导致严重的爆炸性损伤，伴有大骨头的粉碎和缺损。首先进行外固定，随后进行骨重建，但由于伴有感染、血运重建不佳以及缺乏合适的骨床，这一过程困难重重。一名受伤非洲士兵的病例报告显示了通过反复植入松质骨对粉碎性肱骨进行重建的随访情况及困难之处。在骨成功重塑后，外固定之后采用ASIF动力加压钢板骨合成术。
