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初级和延迟的初级伤口关闭在低能量的开放的小腿骨轴骨折:随机对照研究

A Adedire¹, K S Oluwadiya², A Ajibade¹

¹Department of Surgery, Osun State University Teaching Hospital, Osogbo, Osun State. Tel: 08062586085.

West African journal of medicine

|May 20, 2025

概括

对于低能量的开放骨轴骨折,初级伤口关闭提供了较短的愈合时间和较低的治疗费用,而延迟关闭则相比较便宜. 即使在资源有限的环境中,也建议采用这种方法来管理开放式断裂.

科学领域:

整形外科手术整形外科手术
创伤管理创伤管理
伤口愈合治愈伤口愈合

背景情况:

延迟伤口关闭一直是开放骨折的标准,特别是在抗生素之前.
初级伤口关闭在低能量的开放骨轴骨折中未得到充分利用,即使有抗生素的可用性,特别是在发展中国家.

研究的目的:

为了比较初级与延迟初级伤口关闭在治疗Gustilo-Anderson类型I和II骨折的疗效.
评估感染率,伤口愈合时间,住院时间和治疗费用.

主要方法:

一项随机前性干预研究,涉及64名Gustilo-Anderson型I和II骨折的患者.
患者被随机分为两组:初级伤口关闭和延迟初级伤口关闭.
收集和分析了有关感染率,治愈时间,住院时间和成本的数据.

主要成果:

初级关闭的感染率为9.6%,延迟初级关闭的感染率为3.0%.
初级关闭导致伤口愈合的平均持续时间较短 (14.8天),而延迟关闭 (16.1天).
初级关闭与延迟关闭 (N40,536) 相比,治疗成本明显较低 (N34,487).

结论:

初级伤口关闭更具成本效益,并且导致低能量的开放骨轴骨折的伤口愈合更快.
该研究建议在这些骨折中采用初级伤口关闭,包括在低收入和中等收入国家.

关键词:

管理管理管理管理开放式骨折是一个开放式的骨折.Tibia 轴轴轴轴轴轴伤口的关闭伤口的关闭

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Fractures: Bone Repair

Fractures: Bone Repair

Treatment for a fracture is based on the type of break, the bone affected, and the patient's age.
Minor fractures with no bone displacement are treated by immobilizing the fractured bone using a cast or splint. However, in the case of fractures with displaced bones, the broken bones are repositioned before immobilization to ensure successful healing without deformation and loss of function. The realignment of fractured bone ends is performed through a process called reduction. If the...