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Casting versus surgical fixation for grade IIIA open tibial diaphysial fractures in children: effect on the rate of infection and the need for secondary surgical procedures to promote bone union.儿童ⅢA型开放性胫骨干骨折的石膏固定与手术固定：对感染率及促进骨愈合的二次手术需求的影响
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本文引用的文献

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Open tibial fractures in children under 13 years of age--10 years experience.13岁以下儿童开放性胫骨骨折——10年经验
Injury. 2003 Oct;34(10):776-80. doi: 10.1016/s0020-1383(03)00031-7.
2
Treatment of type II and type III open tibia fractures in children.儿童II型和III型开放性胫骨骨折的治疗
J Orthop Trauma. 1997 Jul;11(5):357-62. doi: 10.1097/00005131-199707000-00010.
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Open fractures of the tibia in children.儿童胫骨开放性骨折。
Clin Orthop Relat Res. 1996 Nov(332):62-70. doi: 10.1097/00003086-199611000-00009.
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Open fractures of the tibia in children.
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Open fracture of the tibia in children.儿童胫骨开放性骨折
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A review of open tibia fractures in children.儿童开放性胫骨骨折综述
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儿童ⅢA型开放性胫骨干骨折的石膏固定与手术固定：对感染率及促进骨愈合的二次手术需求的影响

Casting versus surgical fixation for grade IIIA open tibial diaphysial fractures in children: effect on the rate of infection and the need for secondary surgical procedures to promote bone union.

作者信息

Charalambous C P, Alvi F, Siddique I, Zenios M, Hirst P, Marshall P

机构信息

Department of Trauma & Orthopaedics, Manchester Royal Infirmary, Manchester, UK.

出版信息

Int Orthop. 2005 Dec;29(6):392-5. doi: 10.1007/s00264-005-0009-3. Epub 2005 Aug 10.

DOI:10.1007/s00264-005-0009-3
PMID:16091949
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC2231577/
Abstract

We evaluated 39 grade IIIA open tibial fractures presenting in children younger than 13 years of age, to determine if the mode of fracture stabilization (casting vs. surgical fixation) was related to the rate of infection or the need for secondary surgical procedures to promote bone union. All fractures had wound debridement in the operating room. Thirty patients had manipulation and casting, and nine surgical internal or external fixation. There were two cases of infection in the cast-treated group and two in the surgical fixation group (P=0.17). None of the fractures required a secondary surgical procedure to promote bone union. Three of the fractures treated by manipulation and casting displaced; two required re-manipulation and casting and one was converted to external fixation. In two cases the applied external fixator had to be re-aligned. Our results suggest that manipulation and casting is a reliable treatment for open tibial fractures in children.

摘要

我们评估了39例13岁以下儿童的ⅢA型开放性胫骨骨折，以确定骨折固定方式（石膏固定与手术固定）是否与感染率或促进骨愈合所需的二次手术有关。所有骨折均在手术室进行了伤口清创。30例患者接受了手法复位和石膏固定，9例接受了手术内固定或外固定。石膏治疗组有2例感染，手术固定组有2例感染（P = 0.17）。所有骨折均无需二次手术促进骨愈合。手法复位和石膏固定治疗的骨折中有3例发生移位；2例需要再次手法复位和石膏固定，1例改为外固定。有2例应用的外固定架需要重新调整。我们的结果表明，手法复位和石膏固定是儿童开放性胫骨骨折的可靠治疗方法。