Ritchie A J, Small J O, Hart N B, Mollan R A
Department of Plastic Surgery, Ulster Hospital, Dundonald, Belfast, UK.
Injury. 1991 Jul;22(4):267-70. doi: 10.1016/0020-1383(91)90003-w.
A series of 23 type III fractures of the tibia in 20 elderly patients (over 60 years of age) presenting for combined plastic and orthopaedic surgical management over a period of 15 years are reviewed. Overall limb salvage was 53 per cent, with an average inpatient duration not significantly different from that for amputation, suggesting that an age of over 60 years is not necessarily a contraindication to attempts at limb salvage in type III injuries.
回顾了15年间20名老年患者(60岁以上)的23例III型胫骨骨折,这些患者接受了整形和骨科联合手术治疗。总体保肢率为53%,平均住院时间与截肢患者无显著差异,这表明60岁以上并非III型损伤保肢尝试的绝对禁忌证。