Kristensen K D
Acta Orthop Scand. 1979 Oct;50(5):593-8. doi: 10.3109/17453677908989809.
Ninety-two tibial shaft fractures in 90 patients over the age of 15 were treated by compression osteosynthesis according to the AO method, but using plates and screws of Vitallium. Fifteen fractures (14 patients) were excluded, because the follow-up period was less than 12 months. The frequency of complications in the remaining 77 fractures, 44 per cent comminuted and 30 per cent open fractures, were: skin necrosis over the osteosynthesis material: 5.2 per cent, osteitis: 1.3 per cent, delayed osseous healing necessitating secondary operation: 2.6 per cent, loosened screw (not requiring secondary operation): 5.2 per cent, loosened screw + refracture: 1.3 per cent, plate bending: 1.3 per cent, plate fractured: 1.3 per cent, and refracture after removal of the plate (new relevant traumas): 4.8 per cent. In this series there was a markedly high frequency of complications in comminuted fractures with laceration of skin and muscles, whereas an increased tendency for complications to develop in the remaining injury groups was not seen.
对90例15岁以上患者的92处胫骨干骨折采用AO方法进行加压接骨术治疗，但使用的是维他灵钢板和螺钉。15处骨折（14例患者）被排除，因为随访期少于12个月。其余77处骨折（44%为粉碎性骨折，30%为开放性骨折）的并发症发生率如下：接骨材料上方皮肤坏死：5.2%，骨炎：1.3%，延迟骨愈合需二次手术：2.6%，螺钉松动（无需二次手术）：5.2%，螺钉松动+再骨折：1.3%，钢板弯曲：1.3%，钢板断裂：1.3%，钢板取出后再骨折（新的相关创伤）：4.8%。在本系列中，伴有皮肤和肌肉撕裂的粉碎性骨折并发症发生率明显较高，而在其余损伤组中未发现并发症发生趋势增加。
