Bilat C, Leutenegger A, Rüedi T
Department of Surgery, Kantonsspital, Chur, Switzerland.
Injury. 1994 Aug;25(6):349-58. doi: 10.1016/0020-1383(94)90125-2.
A consecutive series of 245 fresh fractures of the tibial shaft, including 60 open fractures underwent operation in a 5 year period (1980-1984). Two hundred and forty-two (98.8 per cent) of these fractures were followed-up for an average of 79 months (6.5 years). Early and late complications as well as complications after implant removal were taken into account for closed and open fractures. In the 185 closed fractures, infection was observed in 1.7 per cent and delayed union in 6.8 per cent. More than 94 per cent of the closed fractures had an excellent or good late result. In open fractures (60 cases) infection was seen in 6.8 per cent, and plate fatigue with delayed union was seen in 10.3 per cent. However an excellent or good functional result was obtained in 93 per cent of the open fractures. After implant removal refractures occurred in 1.3 per cent and other minor complications in 0.9 per cent.
在1980年至1984年的5年期间，连续收治了245例胫骨干新鲜骨折患者，其中60例为开放性骨折并接受了手术治疗。这些骨折患者中有242例（98.8%）获得随访，平均随访时间为79个月（6.5年）。对闭合性骨折和开放性骨折均考虑了早期和晚期并发症以及取出内固定物后的并发症。在185例闭合性骨折中，感染发生率为1.7%，延迟愈合发生率为6.8%。超过94%的闭合性骨折获得了优良的晚期疗效。在开放性骨折（60例）中，感染发生率为6.8%，钢板疲劳伴延迟愈合发生率为10.3%。然而，93%的开放性骨折获得了优良的功能结果。取出内固定物后，再骨折发生率为1.3%，其他轻微并发症发生率为0.9%。
