Suprock M D, Hood J M, Lubahn J D
Orthopaedic Department, Hamot Medical Center, Erie, Pa.
J Hand Surg Am. 1990 Sep;15(5):761-4. doi: 10.1016/0363-5023(90)90152-h.
The role of antibiotics was investigated prospectively in 91 open fractures of the finger. Antibiotics were administered to alternate patients with open phalangeal fractures. Only finger fractures distal to the metacarpophalangeal joint were included. Both groups were treated with aggressive surgical irrigation and debridement. In four patients in each group clinical signs of infection eventually developed; osteomyelitis did not develop in any patients, and no secondary surgical procedures were required in either group. This data indicates that vigorous irrigation and debridement is adequate primary treatment for open phalangeal fractures in fingers with intact digital arteries.
前瞻性地研究了抗生素在91例手指开放性骨折中的作用。将抗生素应用于开放性指骨骨折的交替患者。仅纳入掌指关节远端的手指骨折。两组均采用积极的手术冲洗和清创术治疗。每组有4例患者最终出现感染的临床体征；所有患者均未发生骨髓炎，两组均无需二次手术。该数据表明，对于指动脉完整的手指开放性指骨骨折，积极的冲洗和清创是充分的初始治疗方法。
