Hoffmann R, Südkamp N P
Unfall- und Wiederherstellungschirurgie, Universitätsklinikum Rudolf Virchow, Freien Universität Berlin.
Helv Chir Acta. 1994 Dec;60(6):1067-72.
Fractures with soft-tissue injury are urgent surgical emergencies. Fracture care in the first few hours after the injury crucially determines the course of healing. In open fractures aggressive debridement of all necrotic tissues is mandatory as well as stable external or internal fracture fixation. Secondary wound closure must be performed liberally and prophylactic antibiotics should be administered. Closely observing such a stringent regimen, the rate of posttraumatic osteitis in open fractures can be reduced significantly.
伴有软组织损伤的骨折属于紧急外科急症。受伤后头几个小时的骨折处理对愈合过程起着至关重要的决定作用。对于开放性骨折，必须对所有坏死组织进行积极清创，并进行稳定的外固定或内固定。必须广泛进行二期伤口缝合，并应使用预防性抗生素。严格遵循这样一套严格的治疗方案，开放性骨折的创伤后骨炎发生率可显著降低。
