A REVIEW OF OPEN TIBIA FRACTURES IN CHILDREN

被引：81

作者：

KREDER, HJ

ARMSTRONG, P

机构：

[1] Division of Orthopaedic Surgery, University of Washington, Seattle, WA

[2] Department of Orthopaedic Surgery, University of Utah, Salt Lake City, UT

来源：

JOURNAL OF PEDIATRIC ORTHOPAEDICS | 1995年 / 15卷 / 04期

关键词：

CHILD; COMPLICATIONS; FRACTURES; OPEN; PRESCHOOL CHILD; TIBIAL FRACTURES;

D O I：

10.1097/01241398-199507000-00015

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：

Fifty-six open tibia fractures in 55 children were studied retrospectively. The overall case fatality rate was 7% (four patients). The most significant factor affecting death rate was injury to the chest and abdomen. Four amputations were performed in four patients with five injuries. Statistically, the presence of neurovascular compromise was significant, with four of eight compromised extremities (in seven patients) requiring amputation. Infection occurred in eight injuries, for an incidence of 14% overall (50% deep). The most important variables were presence of neurovascular injury and delay in getting the patient to surgery. A delay of >6 h was correlated with a 25% infection rate compared with a 12% rate for those operated on within 6 h. The average time to union was similar to 5 +/- 4 months (range, 1.5-24.8 months). The most significant factor affecting union time was the age of the patient.

引用

页码：482 / 488

页数：7

共 19 条

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