Dietz H G, Rösch B
Kinderchirurgische Klinik, Ludwig-Maximilians-Universität München.
Unfallchirurg. 1992 Mar;95(3):160-2.
We report 313 cases of osteosynthesis seen between 1977 and 1987 in our hospital. In 50 cases wound infection occurred and in 4 cases osteomyelitis. Important factors in the development of wound infection are soft tissue damage, duration of operation, time from accident to operation, and operation at night. The 4 cases of osteomyelitis occurred in patients who had undergone previous operations. All wound infections healed with local therapy and systemic antibiotics; the cases of osteomyelitis required surgical intervention and systemic antibiotics. No late defects or complications were seen in any case.
我们报告了1977年至1987年期间在我院进行骨固定术的313例病例。其中50例发生伤口感染,4例发生骨髓炎。伤口感染发生的重要因素包括软组织损伤、手术时间、受伤至手术的时间以及夜间手术。4例骨髓炎发生在曾接受过手术的患者身上。所有伤口感染经局部治疗和全身使用抗生素后均愈合;骨髓炎病例需要手术干预和全身使用抗生素。所有病例均未出现晚期缺损或并发症。