개방성 장관골 골절에 관한 임상적 고찰
A Clinical Analysis of Open Fractures of Long Bone
이기병, 강세윤, 이창주, 장익열,
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이기병 ( )
중앙대학교부속 한강성심병원 정형외과
강세윤 ( )
중앙대학교부속 한강성심병원 정형외과
이창주 ( )
중앙대학교부속 한강성심병원 정형외과
장익열 ( )
중앙대학교부속 한강성심병원 정형외과
KMID : 0361619760110020153
Abstract
This is to present the clinical analysis of 197 (165 Patients) open fractures of long bones which were treated at Han Gang Sacred Heart Hospital from December 1971 June 1975. The results obtained as follows:
1. The causes of injury were traffic accident 91, industrial accident 63, home acident 8 and other 3.
2. In this study, there were 139 males and 26 females.
The main age incidence .ranged 11-40 years.
3. Among the 1g7 cases Tibia and fibula were affected mostly(54. 8%)
4. Associated injuries included closed fracture of long bone 35, cerebral contusion 15, skull fracture 10, maxillofascial injury 9, joint dislocation 6 and other 21.
5. The method of treatment was chiefly debridement and primary closure of open wound with 16 internal fixation, followed by cast immobilization 161, skeletal traction 15 and pin & plaster. 5.
6. Consequent incidence of infection was 10.7% (deep 5.1%, superficial 5.6%)
7. The causative strains were coliform bacillus 28, pseudomonas 16, staphylococcus 6, streptococcus 1, and bacillus subtilis 1, _
8. Death occured in 3 cases: the causes were sepsis due to *pseudomonas 2 and anuria due to renal shut down 1.
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