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在农村地区的第三世界国家,外固定器在开放性胫骨损伤治疗中的应用:穷人的万灵药?

Use of external fixators for open tibial injuries in the rural third world: panacea of the poor?

作者信息

Padhi Nihar R, Padhi Poonam

机构信息

Department of Orthopaedics, Padhar Hospital, Betul, MP, India.

出版信息

Injury. 2007 Feb;38(2):150-9. doi: 10.1016/j.injury.2006.08.053. Epub 2006 Dec 1.

Abstract

AIM

To determine the cost-effectiveness of external in comparison with internal fixation of tibial fractures in rural India.

METHODS

A retrospective study of 41 patients with open tibial fractures and 1 with infected non-union, treated with tubular external fixators.

RESULTS

The average cost to the patient of an external fixator was approximately Rs 600 (or US $12), which compares very favourably with costs of internal fixation of similar effectiveness.

CONCLUSION

In rural India, the use of locally made external fixators for primary and definitive treatment of open tibial fractures is cost effective.

摘要

目的

确定在印度农村地区,胫骨干骨折采用外固定与内固定相比的成本效益。

方法

对41例开放性胫骨干骨折患者及1例感染性骨不连患者进行回顾性研究,这些患者均采用管型外固定器治疗。

结果

外固定器对患者的平均成本约为600卢比(或12美元),与具有相似疗效的内固定成本相比非常有利。

结论

在印度农村地区,使用本地制造的外固定器对开放性胫骨干骨折进行一期和确定性治疗具有成本效益。

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