整形外科と災害外科
Online ISSN : 1349-4333
Print ISSN : 0037-1033
ISSN-L : 0037-1033
下腿開放骨折の治療経験
奥田 哲章冨重 守西山 義弘木本 猛松尾 陽壮鳴戸 聰雄岡田 徹也高 勝強
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1977 年 26 巻 3 号 p. 370-374

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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.

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