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胫骨干骨折的手术治疗:277例病例回顾

The operative treatment of tibial shaft fractures: a review of 277 cases.

作者信息

Rommens P, Broos P, Theunis P, Willemen P, Gruwez J A

出版信息

Acta Chir Belg. 1985 Jul-Aug;85(4):268-73.

PMID:4050259
Abstract

From 1978 to 1982 two hundred and seventy seven consecutive fractures of the tibial shaft were treated in our centre of traumatic surgery. One hundred and fifty-three were closed fractures and one hundred and twenty-four open. Seven required amputations, eleven patients died to associated lesions. Twenty-one patients did not show up for the follow-up. The remainder two hundred and thirty-eight patients were followed-up for an average time of nineteen months. In the closed fractures the rate of deep infection was 0.74 percent and the rate of non-union was 1.48 percent. In the open fractures the rate of deep infection was 5.7 percent. The end results were good in more than 90 percent of the closed and in more than 80 percent of the open fractures.

摘要

1978年至1982年期间,我们创伤外科中心共治疗了277例连续性胫骨干骨折。其中153例为闭合性骨折,124例为开放性骨折。7例需要截肢,11例患者因相关损伤死亡。21例患者未前来接受随访。其余238例患者接受了平均19个月的随访。在闭合性骨折中,深部感染率为0.74%,骨不连率为1.48%。在开放性骨折中,深部感染率为5.7%。超过90%的闭合性骨折和超过80%的开放性骨折最终结果良好。

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