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International Orthopaedics

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01-07-2012 | Original Paper

The use of external fixation combined with vacuum sealing drainage to treat open comminuted fractures of tibia in the Wenchuan earthquake

Authors: Lei Liu, Gang Tan, Fujun Luan, Xin Tang, Pengde Kang, Chongqi Tu, Fuxing Pei

Published in: International Orthopaedics | Issue 7/2012

Abstract

Purpose

The purpose of this study was to review the results of external fixation combined with vacuum sealing drainage (VSD) to treat patients who sustained tibial and fibular fractures in the Wenchuan earthquake.

Methods

We retrospectively analysed 179 cases (of which 85 were classified as Gustilo grade III) of open comminuted fracture of the tibia and fibula caused by the Wenchuan earthquake. The patients were followed up for an average of 15 months; detailed records were kept on their function and recovery.

Results

After caring for the life-threatening injuries; fractures were treated by external fixation, with VSD used on the surface or in the cavity of the wound after debridement. Antibiotics were administered on the basis of drug sensitivity test results. After the infection had been controlled and healthy granulation tissue had developed, the patients underwent secondary suture, free skin grafting, or skin flap transfer.

Conclusion

Good results can be achieved when external fixation combined with vacuum sealing drainage were used to treat open comminuted fractures of tibia and fibula in the Wenchuan earthquake.

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Title: The use of external fixation combined with vacuum sealing drainage to treat open comminuted fractures of tibia in the Wenchuan earthquake
Authors: Lei Liu
Gang Tan
Fujun Luan
Xin Tang
Pengde Kang
Chongqi Tu
Fuxing Pei
Publication date: 01-07-2012
Publisher: Springer-Verlag
Published in: International Orthopaedics / Issue 7/2012
Print ISSN: 0341-2695
Electronic ISSN: 1432-5195
DOI: https://doi.org/10.1007/s00264-011-1404-6

At a glance: The STEP trials

Springer Medicine

The use of external fixation combined with vacuum sealing drainage to treat open comminuted fractures of tibia in the Wenchuan earthquake

Abstract

Purpose

Methods

Results

Conclusion

At a glance: The STEP trials

Springer Medicine

Abstract

Purpose

Methods

Results

Conclusion

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