中国骨伤2012，Vol.25Issue(6)：520-522,3.DOI:10.3969/j.issn.1003-0034.2012.06.021
人工皮覆盖技术加外固定器在小腿重度开放骨折中的应用
Application of artificial skin combined with external flxator in the treatment of severe open fractures of legs
苏达明 1赵军华 1黄志远1
作者信息
- 1. 荆州市第三人民医院骨科,湖北荆州434100
- 折叠
摘要
Abstract
Objective: To investigate therapeutic effects of external fixator combined with artificial skin for the treatment of lower limb open fractures. Methods:From January 2009 to February 2011,56 patients with lower limb open fractures were treated with external fixator and artificial skin following debridement. There were 42 males and 14 females,with a mean age of 43.6 years (ranged,18 to 68 years). Wound surface or cavities were filled with artificial skin with embedded drainage tubes connected to vacuum bottle. The wounds were closed with secondary suturing, or free flap, or flap transfer at 5 -7 days after primary operation. The therapeutic effects were evaluated by observing the wound healing, wound bacterial culture, healing time, recovery of limb function. Results:The wounds of 56 patients all healed. Fifty-three patients had bone primary union,and 3 patients had delayed union. The average union time was 5.8 months. There was pin-tract infection in 3 cases and superficial infection in 1 case. According to Ovadia evaluation criteria,45 patients got an excellent results,9 good and 2 fair. Conclusion: Artificial skin combined with external fixator is a simple and effective treatment method for Gustilo M type severe open fractures of legs, which is effective to provide rapid fixation, seal wounds, and shorten secondary healing time of wounds.关键词
皮肤,人工/外固定器/胫骨/腓骨/骨折Key words
Skin,artificial/External fixator/Tibia/Fibula/Fractures引用本文复制引用
苏达明,赵军华,黄志远..人工皮覆盖技术加外固定器在小腿重度开放骨折中的应用[J].中国骨伤,2012,25(6):520-522,3.
