Bibbo Christopher, Brueggeman Jon
Foot & Ankle Section, Department of Orthopaedics, Marshfield Clinic, Marshfield, WI 54449, USA.
J Foot Ankle Surg. 2010 Jan-Feb;49(1):87-92. doi: 10.1053/j.jfas.2009.07.026.
The use of external fixation devices to assist in the management of lower extremity trauma and reconstruction continues to rise. Despite the distinct advantages of external fixation, complications from external fixators continue to exist. The complicated external fixator-associated pin site may be a potential source of significant morbidity, especially in the at-risk patient, which may lead to soft tissue healing problems and infections, as well as osteomyelitis. This article describes both simple as well as more complex techniques that the authors use in the prevention and management of complications arising from external fixator pin sites, and solutions to the difficult task of incorporating external fixator wires into negative-pressure dressings.
使用外固定装置辅助下肢创伤管理和重建的情况持续增加。尽管外固定具有明显优势，但外固定器相关并发症仍然存在。复杂的外固定器相关针道可能是严重发病的潜在来源，尤其是在高危患者中，这可能导致软组织愈合问题、感染以及骨髓炎。本文介绍了作者用于预防和处理外固定器针道并发症的简单及更复杂的技术，以及将外固定器钢丝纳入负压敷料这一艰巨任务的解决方案。
