Abstract |
93 patients with grade III open tibial fractures were treated without a treatment protocol from 1980 to 1982. This group is compared to 147 pts. managed between 1983 to 1986 according to a standardized prospectively designed protocol with aggressive debridement augmented by pulsatile Jet-lavage. Serial debridement were performed at 48-hour intervales until early soft-tissue coverage were obtained using local or free muscle-flaps. The mean follow-up was 80 months respectively 44 months. --The aggressive regimen led to a statistically significant decrease in infection (30% vs 12%), nonunion (16% vs 6%), amputation (18% vs 6%) and combined hospitalization-periods (137 vs 74 days) [all p less than 0.001]. The aggressively treated groups showed a trend toward early fracture-healing (30 vs 23 weeks) although this was not statistically significant.
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Authors | R L Ketterl, H U Steinau, A M Feller, B Stübinger, B F Claudi |
Journal | Zentralblatt fur Chirurgie
(Zentralbl Chir)
Vol. 115
Issue 4
Pg. 209-18
( 1990)
ISSN: 0044-409X [Print] Germany |
Vernacular Title | Aggressives Debridement und frühzeitige Weichteildefektdeckung bei drittgradig offenen Tibiafrakturen. |
PMID | 2336882
(Publication Type: Case Reports, English Abstract, Journal Article)
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Topics |
- Adolescent
- Adult
- Bone Transplantation
(methods)
- Debridement
(methods)
- Female
- Follow-Up Studies
- Fracture Fixation
(methods)
- Fractures, Open
(surgery)
- Humans
- Male
- Osteomyelitis
(surgery)
- Surgical Flaps
- Therapeutic Irrigation
(methods)
- Tibial Fractures
(surgery)
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