Waddell J P, Reardon G P
Clin Orthop Relat Res. 1983 Sep(178):173-8.
Complications that compromised the final result developed in two-thirds of 36 patients with 38 fractures of the tibial shaft. Complications may stem from the severity of the original injury or from the management of the fracture. Late complications, e.g., delayed union, nonunion, and chronic infection, tend to be more serious than early complications. The most complicated tibial shaft fractures are open fractures. Closed methods offer a better chance of avoiding severe complications. Whether the fracture is closed or open, meticulous attention to detail is necessary if complication rates in tibial shaft fractures are to reach an acceptable level.
36例胫骨干骨折患者中有38处骨折出现了影响最终治疗效果的并发症。并发症可能源于原始损伤的严重程度或骨折的治疗方式。晚期并发症，如延迟愈合、不愈合和慢性感染，往往比早期并发症更严重。最复杂的胫骨干骨折是开放性骨折。闭合治疗方法更有可能避免严重并发症。无论骨折是闭合性还是开放性的，若要使胫骨干骨折的并发症发生率达到可接受水平，都必须对细节予以精心关注。
