Shah Faaiz Ali, Ali Mian Amjad, Kumar Vickash, Alam Waqar, Hasan Obada
Department Of Orthopaedics, Lady Reading Hospital Peshawar.
South City Hospital Karachi .
J Pak Med Assoc. 2019 Feb;69(Suppl 1)(1):S41-S45.
To determine the frequency of pin tract infection in external fixator tibia and its effects on the definite fracture fixation and bone healing.
The prospective study was conducted at Lady Reading Hospital, Peshawar, Pakistan, from August 2017 to July 2018, and comprised patients regardless of age and gender with open fracture tibia Gustillo-Anderson type II and type IIIA. Pin tract infection was assessed following the application of locally made external fixation of tibia open fractures. Follow-up was done fortnightly till soft tissue healing, removal of external fixator and definite fracture healing. Pin tract infection was classifiedand treated according to the Checketts-Otterburn classification system. SPSS 20 was used for data analysis.
Of the 117 patients, 95(81%) were males and 22(19%) were females with an overall mean age of 24.7±9.35 years. Pin tract infection was documented in 28(23.9%) patients. Minor and major pin tract infections were reported in 27(96.4%) and 1(3.5%) patient respectively. Soft tissues healed in 27(96.4%) cases.
External fixator for initial stabilisation of open tibial fractures in all patients is recommended..
确定胫骨外固定架针道感染的发生率及其对骨折确定性固定和骨愈合的影响。
2017年8月至2018年7月在巴基斯坦白沙瓦的莱迪·里德医院进行了一项前瞻性研究，纳入了所有年龄和性别的胫骨开放性骨折Gustillo-Anderson II型和IIIA型患者。在应用自制的胫骨开放性骨折外固定架后评估针道感染情况。每两周进行一次随访，直至软组织愈合、拆除外固定架和骨折完全愈合。针道感染根据Checketts-Otterburn分类系统进行分类和治疗。使用SPSS 20进行数据分析。
117例患者中，男性95例（81%），女性22例（19%），总体平均年龄为24.7±9.35岁。28例（23.9%）患者记录有针道感染。分别有27例（96.4%）和1例（3.5%）患者报告有轻度和重度针道感染。27例（96.4%）患者软组织愈合。
建议对所有患者的开放性胫骨骨折进行初期外固定架固定。
