Okhotskiĭ V P, Bialik I F, Kliukvin I Iu
Khirurgiia (Mosk). 1998(10):51-3.
122 patients with purulent complications of open diaphyseal fractures of long bones were treated. Comparative analysis of different surgical methods for treatment of pyogenic complications has shown that the most effective method is one of active sanation of the area of inflammation with the use of combined drainage ensured successful and steady decrease of pyogenic process (follow-up up to 4 years, 89.7% of patients). The drainage provides stable fixation of bones fragments by dipped fixators until consolidation of the fracture. It also promotes repain of residual diaphyseal defects without application of complicated plastic methods.
对122例长骨开放性骨干骨折并发化脓性并发症的患者进行了治疗。对治疗化脓性并发症的不同手术方法的比较分析表明，最有效的方法是采用联合引流对炎症区域进行积极清创，这确保了化脓过程成功且稳定地减轻（随访长达4年，89.7%的患者）。引流通过浸入式固定器为骨折碎片提供稳定固定，直至骨折愈合。它还能促进残留骨干缺损的修复，而无需采用复杂的整形方法。
