Fratture esposte meta-epifisarie distali di femore e meta-epifisarie prossimali di tibia

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• 作者：Stefano Lepore ; Fabio Di Santo ; Luigi Romano…
• 刊名：LO SCALPELLO-OTODI Educational
• 出版年：2016
• 出版时间：April 2016
• 年：2016
• 卷：30
• 期：1
• 页码：41-47
• 全文大小：1,337 KB
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• 作者单位：Stefano Lepore (1)
  Fabio Di Santo (1)
  Luigi Romano (2)
  Mario Misasi (1)
  
  1. U.O.C. I Ortopedia, A.O.R.N. A. Cardarelli, Napoli, Italia
  2. Clinica Ortopedica, Università degli Studi “Magna Graecia”, Catanzaro, Italia
  
• 刊物主题：Orthopedics; Conservative Orthopedics; Surgical Orthopedics; Rheumatology; Traumatic Surgery;
• 出版者：Springer Milan
• ISSN：1970-6812

文摘

Open fractures around knee are difficult to treat because of the high rates of early and late complications such as wound healing or deep infection. Open reduction and early internal stabilisation remain controversial. Early wound closure, huge washing, large debridements, antibiotic prophylaxis reduce the rate of infection. Temporary external fixation is mandatory in comminuted unstable open fractures with soft tissue damage and allows for the management of polytraumatised patients in keeping with the orthopedic damage control principles. To avoid further complications of definitive internal fixation, knee bridging frames of external fixation should be used. The aim of this article was to summarise the management of open proximal tibia and distal femur fractures since the admission in emergency room to the definitive treatment.