折外科治疗英文加翻译.ppt

Surgical approaches are now planned based on the requirements of the fracture pattern, keeping in mind the soft-tissue constraints of the individual injury. The incisions are kept at least 7 cm apart to prevent soft-tissue ischemia and secondary wound breakdown. Intensive（加强的） debridement,minimization of softtissue stripping and proper use of antibiotics are useful for preventing infection. Delayed union, especially in the metaphyseal portion, is also a problem with pilon fractures. We noted a 7.1% delayed union rate in this series. The severity of the injury and poor blood supply to the