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題 名 | Management of Open Tibial Fractures with Associated Skin or Soft Tissue Loss=開放性脛骨骨折合併有表皮或軟組織缺損 |
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作 者 | 莊垂慶; 羅慧夫; 施俊雄; | 書刊名 | 中華民國外科醫學會雜誌 |
卷 期 | 16:4 1983.12[民72.12] |
頁 次 | 頁331-338 |
分類號 | 416.26 |
關鍵詞 | 開放性脛骨骨折; 表皮缺損; 軟組織缺損; |
語 文 | 英文(English) |
中文摘要 | 開放性脛骨骨折合併有表皮或軟組織缺損,如處理不好,常會引起嚴重的合併症,如傷口發炎、骨髓炎、骨折癒合不好,甚至需要截肢,並且住院天數及費用也跟著提高。至於如何處理,及在處理之時開上,則有很多爭論。自從骨外固定術,開始被應用於臨床以後,則愈來愈多之理論均贊成早期處理。不但後遺症少,且住院天數及費用也減少了。 長庚醫院自民國69年1月至71年7月,一年半期間內,共治療121病例,129骨折之病例,均伴有皮膚或軟組織缺損。分為貳組比較,第一組在受傷後骨頭固定五天內,立即作傷口覆蓋處理有42例。第二組,乃在受傷五天以上,再作傷口之處理有82例。二組之比較顯示,單只皮膚缺損而做補皮手術者,須要再第二次手術機會,二組大略相同,但住院天數,早作的一組,可減少的一半左右。如因軟組織缺損而提早做肌(皮)總覆蓋者,其合併有骨髓炎,骨癒合不全或遭截肢命運之機會,和晚做的,雖然沒有統計學上明顯之差異,但住院天數及錢財損失,則仍很明顯地減少。故早期積極之傷口處理,仍不失其價值性。至於有骨頭缺損者,則可做骨皮瓣或骨自由瓣之顯微手術,以避免截肢之命運。 |
英文摘要 | A comparison of early and delayed closure of open tibial fractures caused by moderate and high energy forces was made. Wound closure was accomplished by local skin flaps, muscle transposition, myocutaneous and free osteomyocutaneous flaps. The result of early closure showed no significant difference of incidence of osteomyelitis, of delayed or nonunion of fracture site and of the need of bone graft as compared with delayed closure. But marked decrease of hospitalization time and cost still has the worth of our trying aggressive wound management to get well-vascularized soft tissue coverage as early as possible. |
本系統中英文摘要資訊取自各篇刊載內容。