Golubovic Zoran, Stojiljković Predrag, Mitković Milorad, Trenkić Srbobran, Vukasinović Zoran, Lesic Aleksandar, Kosutić Milomir, Milić Dragan, Najman Stevo, Golubović Ivan, Visnjić Aleksandar
Srp Arh Celok Lek. 2010 May-Jun;138(5-6):362-6. doi: 10.2298/sarh1006362g.
Aircraft cluster bombs can cause severe fractures characterized by extensive destruction of affected tissues and organs.
We present the methods and results of treatment of multiple fractures (left supracondilar humeral fracture, comminuted fracture of the distal right tibia, fracture of right trochanter major without dislocation and fracture of the right second metacarpal bone) in a 24-year old soldier after multiple wounding by a cluster bomb. After short pre-operative preparation a surgical debridement of all wounds was done in general anaesthesia and the fractures of the humerus and tibia were stabilized with the Mitkovic-type external fixator after adequate reposition. For the reconstruction of bone defect of the tibia we used the method of bone transport using the Ilizarov external fixator.
Radical wound debridement, abundant rinsing, leaving the wound open, administration of antibiotics and antitetanus immunization, external fixation and early reconstruction of soft tissue and bone defects are the basic elements of the treatment of serious fractures caused by war injuries and aimed at saving the extremities.
集束炸弹可导致严重骨折，其特征为受影响的组织和器官遭到广泛破坏。
我们介绍了一名24岁士兵在遭集束炸弹多次炸伤后多处骨折（左肱骨髁上骨折、右胫骨远端粉碎性骨折、右大转子骨折无脱位以及右第二掌骨骨折）的治疗方法及结果。经过简短的术前准备，在全身麻醉下对所有伤口进行了外科清创，肱骨和胫骨骨折在充分复位后用米特科维奇式外固定架固定。对于胫骨骨缺损的重建，我们采用了使用伊里扎洛夫外固定架的骨搬运方法。
彻底的伤口清创、充分冲洗、伤口开放、使用抗生素和破伤风免疫接种、外固定以及早期重建软组织和骨缺损是治疗战争伤所致严重骨折并旨在挽救肢体的基本要素。
