Court-Brown C M, Wheelwright E F, Christie J, McQueen M M
Royal Infirmary of Edinburgh, Scotland.
J Bone Joint Surg Br. 1990 Sep;72(5):801-4. doi: 10.1302/0301-620X.72B5.2211760.
An analysis of 51 type III open tibial fractures treated by external skeletal fixation is presented. The fractures are subdivided according to the classification of Gustilo, Mendoza and Williams (1984) into types IIIa, IIIb and IIIc. The different prognoses of these fracture subtypes is examined. The use of the Hoffmann and Hughes external fixators in the management of type III open tibial fractures is presented and it is suggested that the prognosis is independent of the type of fixator used.
本文对51例采用外固定架治疗的Ⅲ型开放性胫骨骨折进行了分析。根据Gustilo、Mendoza和Williams(1984年)的分类方法,将骨折分为Ⅲa、Ⅲb和Ⅲc型。研究了这些骨折亚型的不同预后情况。介绍了霍夫曼和休斯外固定架在Ⅲ型开放性胫骨骨折治疗中的应用,并表明预后与所使用的固定架类型无关。