髓内钉辅助皮质螺钉治疗开放性胫骨骨折（Gustillo IIIA 型）：病例报告。
Treating open tibular fracture (Type gustillo IIIA) with medullary nail assisted by cortex screws: A case report.
机构信息
Shibei Hospital, Shanghai, China.
出版信息
Medicine (Baltimore). 2023 May 12;102(19):e33747. doi: 10.1097/MD.0000000000033747.
BACKGROUND
Open fractures of the tibia are mostly caused by high-energy injuries, accompanied by severe soft tissue injuries. Staged operations are reported performing better prognosis in these cases.
CASE SUMMARY
The author reports a case of open comminuted fracture of the left tibia (GustilloIIIA) and discusses its clinical features and treatment experience with the literature. The patient was admitted to our hospital by an ambulance for half an hour due to pain in her left leg caused by a car collision on an electric bike. During hospitalization, external fixation and an intramedullary nail were sequential used.
CONCLUSION
The case report suggests that cortex screws are likely benefit the prognosis of severe open tibial fracture.
背景
胫骨开放性骨折多由高能损伤引起，伴有严重的软组织损伤。分期手术被报道在这些情况下有更好的预后。
病例总结
作者报告了一例左侧胫骨开放性粉碎性骨折（GustilloIIIA）的病例，并结合文献讨论了其临床特征和治疗经验。患者因骑电动自行车被汽车碰撞致左腿疼痛半小时后由救护车送入我院。住院期间，先后采用了外固定和髓内钉。
结论
该病例报告表明皮质螺钉可能有利于严重开放性胫骨骨折的预后。
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