Surgical Treatment of Open Fractures of the Lower Legs.
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概要
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Clinical results and treatment of open fractures of the lower legs were evaluated. Thirteen open fractures (in twelve patients) from 1991 to 1993 were treated at our hospital. None of the factures developed osteomyelitis. Only one patient who had a fracture of the fibula developed the complication of a deep infection in the fracture area. Recovery in the range of motion of eight fractures classified as Gustilo's Type III was inferior to the other cases.In the present series an external fixator was used in six fractures. Five of these fractures needed secondary skin grafts which were successful under the condition of the presence of the external fixator. In addition open fractures of the lower legs with soft tissue damage requires stable fixation to promote healing and decrease morbidity. The external fixator provides rapid and stable fixation, thus it is a feasible treatment for open fracture of the lower legs.
- 西日本整形・災害外科学会の論文
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