Single stage management of Gustilo type Ⅲ A/B tibia fractures: Fixed with nail  covered with fasciocutaneous flap

G.I.Nambi; Abhijeet Ashok Salunke; S.G.Thirumalaisamy; V.Lenin Babu; K.Baskaran; T.Janarthanan; K.Boopathi; Yong Sheng Chen

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Single stage management of Gustilo type Ⅲ A/B tibia fractures: Fixed with nail covered with fasciocutaneous flap

机译：GustiloⅢA / B型胫骨骨折的单阶段处理：钉固定并覆盖筋膜皮瓣

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Purpose:To evaluate the role of immediate and definitive management of Gustilo type Ⅲ A/B tibia fractures with intramedullary nailing and fasciocutaneous flap.Methods:From August 2010 to July 2012,22 patients with Gustilo Grade Ⅲ A/B tibia fractures were managed with a single stage treatment of ipsilateral fasciocutaneous flap & reamed intramedullary nailing and were included in the study.The severity of the injury was calculated with Ganga Hospital injury severity score.Results:The mean age of patients was 41 years and the follow-up time ranged from six months to one year.Among the 22 patients,73％ were type Ⅲ B fractures with upper leg involved in 55％ of them.The time interval from injury to completion of surgery was 8-14 h.The incidence of bone infection requiring secondary procedure was 9％;the major and minor soft tissue complication rate was 9％ and 14％ respectively.The limb salvage rate was 100％.Conclusion:Multidisciplinary management of severe lower limb trauma is important and provides good outcomes,Intramedullary nailing and immediate flap fixation can achieve early bone union and good soft tissue coverage,leading to good outcomes in patient with Grade Ⅲ A & B tibia fractures.

机译：目的：评价立即和明确处理带髓内钉和筋膜皮瓣的GustiloⅢA / B型胫骨骨折的方法。方法：从2010年8月至2012年7月，对22例GustiloⅢA / B级胫骨骨折患者进行手术治疗。本研究纳入了同侧筋膜皮瓣和扩孔髓内钉的单阶段治疗，并通过恒河医院损伤严重程度评分计算了损伤的严重程度。结果：患者的平均年龄为41岁，随访时间长短不一。从六个月到一年不等。22例患者中，ⅢB型骨折占73％，大腿占55％。从受伤到手术完成的时间间隔为8-14小时。继发手术率为9％;主要和次要软组织并发症发生率分别为9％和14％。肢体抢救率为100％。结论：严重的下肢创伤的多学科治疗很重要，并且取得了良好的效果，髓内钉固定和立即皮瓣固定可实现早期骨愈合和良好的软组织覆盖，从而使ⅢA和B级胫骨骨折患者获得良好的治疗效果。

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来源
《中华创伤杂志（英文版）》 |2017年第2期|99-102|共4页
作者
G.I.Nambi; Abhijeet Ashok Salunke; S.G.Thirumalaisamy; V.Lenin Babu; K.Baskaran; T.Janarthanan; K.Boopathi; Yong Sheng Chen;
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Plastic & Reconstructive Microvascular Services, Kovai Medical Center & Hospital, Coimbatore 641014, India;

Department of Orthopaedics, Pramukswami Medical College, Srikrishna Hospital, Karamsad 388325, Anand, Gujrat, India;

Department of Orthopaedics & Traumatology, Kovai Medical Center & Hospital, Coimbatore 641014, India;

Department of Orthopaedics & Traumatology, Kovai Medical Center & Hospital, Coimbatore 641014, India;

Department of Orthopaedics & Traumatology, Kovai Medical Center & Hospital, Coimbatore 641014, India;

Department of Orthopaedics & Traumatology, Kovai Medical Center & Hospital, Coimbatore 641014, India;

Department of Orthopaedics & Traumatology, Kovai Medical Center & Hospital, Coimbatore 641014, India;

Department of Orthopedics, National University Hospital, Singapore;

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收录信息中国科学引文数据库(CSCD);中国科技论文与引文数据库(CSTPCD);
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Single stage management of Gustilo type Ⅲ A/B tibia fractures: Fixed with nail covered with fasciocutaneous flap

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