A Study of the Open Fractures of the Tibia and Fibula

概要

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Twenty-nine cases of the open fractures in tibia and fibula were treated in our clinic for the past ten years.3 cases…emergency (not treated).4 cases…refered in 48hours after first-aid treatment.6 cases…refered with pseudoarthrosis.16 cases…refered with infected wound.For emergency csaes and refered in 48 hours after first-aid treatment cases, complete débridement were most important. Pseudoarthrosis cases were treated with bone graft and küntscher-nail or A-O Plate. For infected cases, it was essential to differentiate suppurative germs and sensive antibiotics.Curettege and removal of previous plates and screws were done before skin coverage. After inflammation was arrested in most cases, osteosynthesis had been done secondly. Two cases infected with pseudomonas were difficult to acquire complete cure.
西日本整形・災害外科学会の論文