Milankov M, Krajcinović J, Vukadinović S, Jovanović A, Milicić A, Savić D
Department for Orthopaedic Surgery and Traumatology, University School of Medicine, Novi Sad.
Srp Arh Celok Lek. 1992 Jan-Feb;120(1-2):31-3.
Over a ten-year period, 485 patients suffering from malleous fracture were operated at the Department for Orthopaedic Surgery and Traumatology in Novi Sad. Postoperative infection appeared in ten cases (2.06%). Eight of these patients primarily had open fractures, and two of them had closed ones. Osteosynthesis of the lateral malleous had most frequently been treated by the use of panel and screws. Staphylococcus aureus was isolated as symptom of the infection in eight cases. In treatment of malleous osteomyelitis, the debridement of focus of infection together with fixation material extraction was the most frequently performed operative method. During a two-year period no exacerbation, seven patients was observed while at control examination three patients had secretion from fistula. Mobility of ankle joint was limited in most cases, while walking imposed no pain.
在十年期间,诺维萨德市骨科与创伤外科对485例踝关节骨折患者进行了手术。术后感染发生10例(2.06%)。其中8例患者最初为开放性骨折,2例为闭合性骨折。外踝骨折的接骨术最常采用钢板和螺钉治疗。8例感染病例分离出金黄色葡萄球菌。在治疗踝关节骨髓炎时,最常采用的手术方法是感染灶清创术并取出固定材料。在两年期间,观察到7例患者无病情加重,而在对照检查时,3例患者有瘘管分泌物。大多数情况下踝关节活动受限,而行走时无疼痛。