Russell G G, Henderson R, Arnett G
Royal Alexandra General Hospital, Edmonton, Alberta, Canada.
J Bone Joint Surg Br. 1990 Jan;72(1):125-8. doi: 10.1302/0301-620X.72B1.2298770.
Of 110 consecutive open tibial fractures 90 were reviewed and analysed retrospectively with particular reference to wound closure, method of stabilisation, infection rate and the incidence of non-union. There were 41% Gustilo type I, 39% type II and 20% type III injuries. The incidence of deep infection was 20% after primary wound closure compared with 3% after delayed closure, and eight of the nine non-unions followed primary closure. We conclude that primary wound closure should be avoided in the treatment of open tibial fractures.
对110例连续性开放性胫骨骨折患者中的90例进行了回顾性分析，特别关注伤口闭合情况、固定方法、感染率和骨不连发生率。其中，Gustilo I型损伤占41%，II型占39%，III型占20%。一期伤口闭合后深部感染发生率为20%，而延迟闭合后为3%，9例骨不连中有8例发生在一期闭合之后。我们得出结论，在开放性胫骨骨折的治疗中应避免一期伤口闭合。
