胫骨骨折髓内钉固定术后感染临床特点探讨

目的探讨胫骨骨折髓内钉固定术后感染的特点。方法回顾性分析197例行胫骨骨折髓内钉固定术患者的病例资料。结果 197例患者中,术后感染共发生11例,发生率在闭合性骨折、Gustilo Ⅰ型、Gustilo Ⅱ型和Gustilo Ⅲ型骨折中分别为1.0%、0.5%、1.5%和2.5%。Gustilo Ⅲ型骨折中,Ⅲa和Ⅲb型分别为1.0%和1.5%。结论胫骨骨折髓内钉固定术后感染发生率高,治疗困难,临床医生应引起高度重视。

The observation of the clinic features of infection after intramedullary nailing of the tibial fracture

Objective To observe the clinic features of infection after intramedullary nailing of the tibial fracture.Methods Reviewed 197 patients with tibial fractures treated by intramedullary nailing retrospectively.Results Among the 197 patients,11 infections were presented.The incidence of infection was 1.0% in closed and 0.5% in Gustilo type Ⅰ open fractures,1.5% in type Ⅱ and 2.5% in type Ⅲ fractures.Of the Gustilo type Ⅲ,1.0% in type Ⅲa,1.5% in type Ⅲb.Conclusion There is a high incidence and serious nature of infection after intramedullary nailing of the tibia.