Weise K, Holz U, Sauer N
Aktuelle Traumatol. 1983 Feb;13(1):24-9.
In compound fractures, after debridement and stabilisation, primary open wound treatment with synthetic skin substitute is the method of choice. A follow-up examination of 171 second- and third-degree compound fractures between April 1974 and June 1981 showed an infection rate of 18,7% and an osteitis rate of 14,6%. In 23 cases conservative surgery was performed, in 17 cases primary amputation was necessary. In 85% of all cases bone healing was achieved after an average of 5,4 months.
在开放性骨折中,清创和固定后,使用合成皮肤替代品进行一期开放性伤口处理是首选方法。对1974年4月至1981年6月期间的171例二度和三度开放性骨折进行的随访检查显示,感染率为18.7%,骨炎发生率为14.6%。23例进行了保守手术,17例需要一期截肢。在所有病例中,85%的患者平均在5.4个月后实现了骨愈合。