76 cases of early limb open fracture fixation of.docVIP

 PAGE \* MERGEFORMAT 7 76 cases of early limb open fracture fixation of 【Abstract】 Objective To investigate the open fracture of extremities and efficacy of early fixed. Methods 76 patients with 81 open fractures early debridement and internal fixation, wound a suture, suture, muscle flap coverage or delayed repair. Results 76 patients with 81 limbs, open fractures, of which 72 cases of 78 patients with postoperative follow-up of normal bone fracture healing rate was 96%, bone delayed union or nonunion, and 4%. Conclusion limb open fracture, early debridement, removal of pollution, loss of living tissue, reasonable internal fixation to maintain the structural integrity of fractures, soft tissue wound coverage of the appropriate surgical treatment with satisfactory results. Keywords: limbs; open fracture; internal fixation In our hospital in December 2000 ~ December 2004 4 years were treated in 76 patients with open fractures (not including the hand, foot), 76 patients with 81 fractures after debridement in early stage, while the metal fixation, and achieved satisfactory results , are reported as follows. 1 Data and methods 1.1 General information on 76 cases in this group, the male 42 cases, female 34 cases. Age 10 to 70 years old. Cause of his injuries: 51 cases of injury accidents, 15 cases of mechanical injury, sports injury in 10 cases. Injury to surgery interval of time 1 ~ 14h. Fracture areas: the tibia and fibula 36, femur 21, 8 humerus, radius and ulna 6, patella 4, ankle fracture and dislocation 6. Wound Category: Ⅰ type wounds, from bone-chip from the inside out, punctured causing 21; Ⅱ type wounds, caused by those from outside to inside 42; Ⅲ class of mixed type 18. 1.2 in 24 cases of plate and screw fixation, screw in 15 cases, intramedullary nailing in 18 cases, Kirschner wire or a Kirschner wire plus 19 cases, wound closure. 2 Efficacy The group of 76 patients with 81 wounds, a he