距骨开放性骨折中污染离体骨折块的处理策略
被引量:3
摘要
距骨骨折发生率较低,在所有骨折中的发生率为0.32%^[1],且多为高能量损伤所致,20%~25%为开放性骨折^[2],多伴有严重的软组织挫裂伤,而且距骨本身无单独的血供,故骨折后易发生骨折延迟愈合或不愈合、距骨缺血性坏死、感染等并发症。距骨开放性骨折常常有骨折碎块游离脱出于体外而受到污染,对于这些既失去血供又被污染的离体骨折块,是否应该丢弃以避免骨髓炎的发生?
出处
《中华创伤骨科杂志》
CAS
CSCD
2009年第9期897-898,共2页
Chinese Journal of Orthopaedic Trauma
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