McClinton M A, Helgemo S L
Raymond Curtis Hand Center, Union Memorial Hospital, Baltimore, Maryland, USA.
Hand Clin. 1997 Nov;13(4):745-60.
Infection is infrequent after open fractures of the upper extremity. Treatment begins with prevention through the appropriate use of prophylactic antibiotics, adequate wound debridement, and timely soft-tissue coverage. If infection supervenes, the surgeon must identify the responsible bacteria and administer antibiotics accordingly. Stable fixation is retained. Unstable fixation is removed and skeletal stability restored. Using these principles, infection in the presence of skeletal fixation can be controlled and fracture union achieved.
上肢开放性骨折后感染并不常见。治疗首先要通过合理使用预防性抗生素、充分的伤口清创和及时的软组织覆盖来进行预防。如果发生感染，外科医生必须确定致病细菌并相应地使用抗生素。保留稳定的内固定。去除不稳定的内固定并恢复骨骼稳定性。遵循这些原则，骨骼固定情况下的感染可以得到控制，骨折也能实现愈合。
