Golubović Zoran, Vidić Goran, Trenkić Srbobran, Vukasinović Zoran, Lesić Aleksandar, Stojiljković Predrag, Stevanović Goran, Golubović Ivan, Visnjić Aleksandar, Najman Stevo
Clinic for Orthopaedic Surgery and Traumatology, Clinical Centre, Nis, Serbia.
Srp Arh Celok Lek. 2010 Jul-Aug;138(7-8):510-4. doi: 10.2298/sarh1008510g.
Aircraft bombs can cause severe orthopaedic injuries. Tibia shaft fractures caused by aircraft bombs are mostly comminuted and followed by bone defects, which makes the healing process extremely difficult and prone to numerous complications. The goal of this paper is to present the method of treatment and the end results of treatment of a serious open tibial fracture with soft and bone tissue defects resulting from aircraft bomb shrapnel wounds.
A 26-year-old patient presented with a tibial fracture as the result of a cluster bomb shrapnel wound. He was treated applying the method of external bone fixation done two days after wounding, as well as of early coverage of the lower leg soft tissue defects done on the tenth day after the external fixation of the fracture. The external fixator was removed after five months, whereas the treatment was continued by means of functional plaster cast for another two months. The final functional result was good.
Radical wound debridement, external bone fixation of the fracture, and early reconstruction of any soft tissue and bone defects are the main elements of the treatment of serious fractures.
航空炸弹可导致严重的骨科损伤。航空炸弹造成的胫骨干骨折多为粉碎性骨折，并伴有骨缺损，这使得愈合过程极为困难且容易出现多种并发症。本文的目的是介绍因航空炸弹弹片伤导致的伴有软组织和骨组织缺损的严重开放性胫骨骨折的治疗方法及治疗结果。
一名26岁患者因集束炸弹弹片伤导致胫骨骨折。受伤两天后采用外固定架固定骨折，骨折外固定十天后对小腿软组织缺损进行早期覆盖治疗。五个月后拆除外固定架，之后继续使用功能性石膏固定两个月。最终功能恢复良好。
彻底清创、骨折外固定以及早期修复任何软组织和骨缺损是严重骨折治疗的主要环节。
