Batten R L, Donaldson L J, Aldridge M J
Injury. 1978 Nov;10(2):108-14. doi: 10.1016/s0020-1383(79)80070-4.
A prospective study was carried out on 142 fresh fractures of the tibial shaft treated by internal fixation according to the AO principles, 99 fractures being closed and 43 open. A total of 140 cases was reviewed at 1 year and 125 cases at 2 years following injury, at which times a functional assessment score was awarded by the surgeon and the patient himself, and a precise measurement of ankle range was made. The time taken for the fracture to unite and the incidence of non-union was greater if the fracture was comminuted (whether open or closed) than if there was no comminution. For patients with closed fractures the minor infection rate (erythema and increased local temperature) was 4.1 per cent and the major infection rate (pus present) was 4.1 per cent, no infection being severe enough to warrant removal of the plate. In open fractures, the overall infection rate was 14 per cent, 7 per cent having major infection and only 1 case requiring removal of the plate. The functional results and complications are discussed.
对142例胫骨干新鲜骨折患者进行了一项前瞻性研究，这些骨折均按照AO原则采用内固定治疗，其中99例为闭合性骨折，43例为开放性骨折。受伤后1年对140例患者进行了复查，2年时对125例患者进行了复查，复查时由外科医生和患者本人进行功能评估评分，并对踝关节活动范围进行精确测量。粉碎性骨折（无论是开放性还是闭合性）的骨折愈合时间和不愈合发生率均高于无粉碎的骨折。对于闭合性骨折患者，轻微感染率（红斑和局部温度升高）为4.1%，严重感染率（有脓液）为4.1%，没有感染严重到需要取出钢板。在开放性骨折中，总体感染率为14%，7%发生严重感染，只有1例需要取出钢板。文中讨论了功能结果和并发症。
