胫腓骨骨折软组织问题的临床分析

目的分析胫腓骨骨折后软组织缺损和感染坏死的治疗方法及效果。方法回顾性分析1992年1月～2011年12月来本院治疗并得到随访的74例胫腓骨骨折后软组织缺损和感染坏死患者的临床资料,总结治疗过程的经验和教训。结果有2例感染患者截肢,3例偶有植皮区水泡,其余患者恢复良好。结论胫腓骨骨折后软组织缺损和感染坏死后,应彻底清创,给予无创或微创手术,适当固定,及时修复创面,有利于减少皮肤软组织坏死和感染的概率,促进皮肤软组织及骨折的早日康复。

Clinical analysis of soft tissue defect of tibia and fibula fracture

Objective To analyze the treatment method and effect of soft tissue defect and infected necrosis after tibia and fibula fractures.Methods The clinical data of 74 cases patients with soft tissue defect and infected necrosis after tibia and fibula fracture whom treated in our hospital from Jan.1990 to Dec.2011 was analyze retrospectively,the ex periences and lessons in the process of treatment was summed up.Results There were 2 cases of patients with wound infection and were amputated,3 cases with bleb in skin graft area occasionally,others were survived.Conclusion For soft tissue defect and infected necrosis after tibia and fibula fractures,the complete debridement,no and minimally in vasive operation,effective fixation,and reasonable soft tissue repairment can effective reduce the rate of infection and death of wound and skin;and is usefull for the promotion of skin soft tissue and fracture recover at an early date.