Reamed nailing of Gustilo grade-IIIB tibial fractures

被引:49
作者
Keating, JF
Blachut, PA
O'Brien, PJ
Court-Brown, CM
机构
[1] Royal Infirm, Dept Orthopaed, Edinburgh EH3 9YW, Midlothian, Scotland
[2] Vancouver Gen Hosp, Vancouver, BC V5Z 4E3, Canada
[3] Hlth Sci Ctr, Div Orthopaed Trauma, Vancouver, BC V5Z 4E3, Canada
来源
JOURNAL OF BONE AND JOINT SURGERY-BRITISH VOLUME | 2000年 / 82B卷 / 08期
关键词
D O I
10.1302/0301-620X.82B8.10566
中图分类号
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学(修复外科学)];
学科分类号
摘要
Reamed intramedullary nailing was carried out on 57 Gustilo grade-IIIB tibial fractures in 55 patients. After debridement, there was substantial bone loss in 28 fractures (49%), The mean time to union was 43 weeks (14 to 94), When there was no bone loss, the mean time to union was 32 weeks; it was 45 weeks if there was bone loss. Fractures complicated by infection took a mean of 53 weeks to heal. Revision nailing was necessary in 13 fractures (23%) and bone grafting in 15 (26%), In ten fractures (17.5%) infection developed, in four within six weeks of injury and in six more than four months later. Of these, nine were treated successfully, but one patient required an amputation because of osteomyelitis. Our results indicate that reamed intramedullary nailing is a satisfactory treatment for Gustilo grade-III tibial fractures.
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页码:1113 / 1116
页数:4
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