交锁髓内钉联合封闭式负压引流治疗胫骨开放性骨折 |
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引用本文: | 王盛海,于泓,陈建华,强廷会,旦明清,张成泉.交锁髓内钉联合封闭式负压引流治疗胫骨开放性骨折[J].吉林医学,2011,32(14):2734-2735. |
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作者姓名: | 王盛海 于泓 陈建华 强廷会 旦明清 张成泉 |
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作者单位: | 王盛海 (陕西省汉中市中心医院骨三科,陕西,汉中,723000) ; 于泓 (陕西省汉中市中心医院骨三科,陕西,汉中,723000) ; 陈建华 (陕西省汉中市中心医院骨三科,陕西,汉中,723000) ; 强廷会 (陕西省汉中市中心医院骨三科,陕西,汉中,723000) ; 旦明清 (陕西省汉中市中心医院骨三科,陕西,汉中,723000) ; 张成泉 (陕西省汉中市中心医院骨三科,陕西,汉中,723000) ; |
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摘 要: | 目的:探讨交锁髓内钉联合封闭式负压引流(Vacuum-sealing drainage,VSD)治疗胫骨开放性骨折的疗效。方法:33例胫骨干开放性骨折病例,彻底清创后行交锁髓内钉固定,伤口置管持续冲洗,创面用封闭式负压引流材料覆盖,接负压封闭式引流,5~7 d更换VSD材料,创面肉芽新鲜后二期植皮或行皮瓣转移术修复皮肤缺损。结果:33例骨折31例一期愈合,无1例感染发生;28例皮肤缺损行皮瓣转移术修复,5例经换药后皮肤覆盖修复,均无感染发生。结论:在彻底清创的前提下联合应用交锁髓内钉与封闭式负压引流治疗GustiloⅢb以下型开放性胫骨干开放性骨折是一种安全、有效的方法。
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关 键 词: | 胫骨干 开放性骨折 交锁髓内钉 封闭式负压引流 |
Intramedullary interlocking nails combined with VSD treating open fracture of tibia-shaft |
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Institution: | WANG Sheng-hai,YU Hong,CHEN Jian-hua,et al(The Central Hospital of Hanzhong City,Hanzhong 723000,China) |
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Abstract: | Objective To investigate the effects of intramedullary interlocking nails combined with VSD for open fracture of tibia-shaft.Method A group of 33 cases of open tibia-shaft fracture was collected,after thoroughly debrided,all the fractures were fixed with intramedullary interlocking nails,a continuing douching tube was put in the wounds,then vacuum-sealing drainage(VSD) was used to cover the wounds,the VSD was connected to negative pressure,the VSD material was replaced 5~7 days later.Dermatoplasty or skin flap transfer was conducted after the granulation become flash.Results Thirty-one fractures were primarily healed,none infection happened in all 33 cases,28 cutaneous deficiency were plerosised via transfer of skin flap,the other 5 cutaneous deficiency were recovered by change of dressing,no infection happened.Conclusion After thoroughly debrided,intramedullary interlocking nails combined with VSD is a safe and effective method to open fracture of tibia-shaft below GustiloⅢb. |
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Keywords: | Tibial fractures Open fractures Intramedullary interlocking nails Vacuum-sealing drainage |
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