Berentey G, Somogyi S, Sulyok B, Szloboda J, Tamásy S
Magy Traumatol Orthop Helyreallito Seb. 1975;18(2):94-102.
Out of 557 open fractures of the leg we have analysed 472 cases in respect of recovery. We tried to discrive the relationship between the infection and the severity of the lesion and the methods of treatment resp. We have analysed also the further course of the infect.on. In our material considerable risk of the infections in the case of open leg fractures was found, since the incidence of all infections corresponded--in accordance with the data of the literature--to 16,7% of the appreciable cases. Significant relationship between the occurrence of infections and the severity of the lesion was found. In the material analysed according to the ACD code the incidence of infections is in the severely injured patients three times as much as in the case of slight or moderately severe groups. The occurrence of posttraumatic osteitis corresponds to 9,11%--this latter is similarly in relation with the severity of the lesion. The infection leads to the protraction of the osseous union,--however, no convincing data were found in the authors' material in respect of the relationship between the infection and the methods of treatment. The course and the proportion of healing of the infected cases correspond to the mean values reported in the literature. On the basis of their great material it is stated by the authors that only in the case of lesions with identical or at the least similar severity comparison of the results of recovery or of the complications is possible and suitable.
在557例开放性腿部骨折病例中，我们分析了472例的恢复情况。我们试图描述感染与损伤严重程度以及治疗方法之间的关系。我们还分析了感染的后续病程。在我们的资料中发现，开放性腿部骨折存在相当大的感染风险，因为所有感染的发生率——根据文献数据——相当于明显病例的16.7%。发现感染的发生与损伤的严重程度之间存在显著关系。在根据ACD编码分析的资料中，严重受伤患者的感染发生率是轻度或中度严重组的三倍。创伤后骨髓炎的发生率为9.11%——后者同样与损伤的严重程度有关。感染会导致骨愈合延迟，然而，在作者的资料中未发现关于感染与治疗方法之间关系的确凿数据。感染病例的病程和愈合比例与文献报道的平均值相符。作者基于大量资料指出，只有在损伤严重程度相同或至少相似的情况下，才有可能且适合比较恢复结果或并发症。
