Kemp A G, van Niekerk J L, van Meurs P A
Department of General Surgery, University Hospital Nijmegen, The Netherlands.
Injury. 1993 Mar;24(3):161-2. doi: 10.1016/0020-1383(93)90281-a.
The results of 17 patients with type III open tibial fractures were judged retrospectively by using the Guides to the Evaluation of Permanent Impairment. The fractures were divided into types IIIA (N = 7), IIIB (N = 5) and IIIC (N = 5) according to Gustilo et al. (1984). The impairment scores of these patients were compared with those after a through-knee amputation (36 per cent impairment) or a below-knee amputation (28 per cent impairment). The average impairment scores of the three groups were: IIIA 7.1 per cent, IIIB 19 per cent, IIIC 18.4 per cent. The impairment score of salvaged type III open tibial fractures, for each group, IIIA, IIIB and IIIC, was lower than that after a below-knee or through-knee amputation.
采用《永久性损伤评估指南》对17例III型开放性胫骨骨折患者的结果进行回顾性评判。根据Gustilo等人（1984年）的标准，将骨折分为IIIA型（N = 7）、IIIB型（N = 5）和IIIC型（N = 5）。将这些患者的损伤评分与全膝关节截肢术后（损伤率36%）或膝关节以下截肢术后（损伤率28%）的评分进行比较。三组的平均损伤评分分别为：IIIA型7.1%，IIIB型19%，IIIC型18.4%。对于每一组（IIIA、IIIB和IIIC型），保肢治疗的III型开放性胫骨骨折的损伤评分均低于膝关节以下或全膝关节截肢术后的评分。
