伴有软组织缺损的开放性骨折：覆盖方法及手术时机
Open fractures with soft-tissue loss: Coverage options and timing of surgery.
作者信息
Coles Chad P
机构信息
Dalhousie University, Halifax, NS, Canada.
出版信息
OTA Int. 2020 Mar 23;3(1):e053. doi: 10.1097/OI9.0000000000000053. eCollection 2020 Mar.
Abstract
Open fractures with soft-tissue loss remain challenging injuries to treat. These often high-energy fractures are at a higher risk of delayed healing and at much higher risk of infection than open fractures with less significant soft-tissue injury. The initial management of the open wound, flap coverage options, and the timing of definitive coverage all remain areas of controversy, which will be discussed in this article.
摘要
伴有软组织缺损的开放性骨折仍然是具有挑战性的创伤，难以治疗。这些通常为高能量骨折，与软组织损伤较轻的开放性骨折相比，其延迟愈合风险更高，感染风险也高得多。开放性伤口的初始处理、皮瓣覆盖选择以及确定性覆盖的时机，仍然都是存在争议的领域，本文将对此进行讨论。
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