HOMEPRODUCTSCOMPANYCONTACTFAQResearchDictionaryPharmaSign Up FREE or Login

[Aggressive debridement and early soft tissue coverage of 3d degree open tibial fractures].

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.
AuthorsR L Ketterl, H U Steinau, A M Feller, B Stübinger, B F Claudi
JournalZentralblatt fur Chirurgie (Zentralbl Chir) Vol. 115 Issue 4 Pg. 209-18 ( 1990) ISSN: 0044-409X [Print] Germany
Vernacular TitleAggressives Debridement und frühzeitige Weichteildefektdeckung bei drittgradig offenen Tibiafrakturen.
PMID2336882 (Publication Type: Case Reports, English Abstract, Journal Article)
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)

Join CureHunter, for free Research Interface BASIC access!

Take advantage of free CureHunter research engine access to explore the best drug and treatment options for any disease. Find out why thousands of doctors, pharma researchers and patient activists around the world use CureHunter every day.
Realize the full power of the drug-disease research graph!


Choose Username:
Email:
Password:
Verify Password:
Enter Code Shown: