Shaw D L, Lawton J O
Deptment of Orthopaedics, Leeds General Infirmary, UK.
J R Coll Surg Edinb. 1995 Oct;40(5):344-6.
We report our experience with the Orthofix external fixator in the management of closed and Gustilo grades 1 and 2 compound unstable tibial shaft fractures. Forty-four fractures were treated between January 1988 and December 1989. All the fractures united. Median time in hospital was 13 days. Median time to union was 21 weeks for closed and 22 weeks for compound fractures. A method of estimating the overall cost per patient is described. Using this method we compared the cost of using the Orthofix with that of intramedullary nailing and plating according to AO principles. The Orthofix fixator was cheaper than alternative methods in particular because no readmissions were required for implant removal.
我们报告了使用Orthofix外固定器治疗闭合性以及Gustilo 1级和2级开放性不稳定胫骨干骨折的经验。1988年1月至1989年12月期间共治疗了44例骨折。所有骨折均愈合。中位住院时间为13天。闭合性骨折的中位愈合时间为21周，开放性骨折为22周。本文描述了一种估算每位患者总体费用的方法。使用该方法，我们将使用Orthofix外固定器的费用与根据AO原则进行髓内钉固定和钢板固定的费用进行了比较。Orthofix外固定器比其他方法更便宜，特别是因为无需再次入院取出植入物。
