Early fracture external fixation in treatment of severe traumatic brain injury combined with extremity fracture
10.3760/cma.j.issn.1001-8050.2009.03.59
- VernacularTitle:早期外固定术在重型颅脑创伤合并四肢骨折中的应用
- Author:
Lijun HOU
;
Hai JIN
;
Chengguang PAN
;
Yueping OUYANG
;
Yicheng LU
;
Bo LI
;
Hui WANG
- Publication Type:Journal Article
- Keywords:
Brain injuries;
Fracture,extremity;
Fracture fixation,external
- From:
Chinese Journal of Trauma
2009;25(3):196-198
- CountryChina
- Language:Chinese
-
Abstract:
Objective To discuss clinical effects of early (<48 hours after injury) fraeture exter-nal fixation in treatment of severe traumatic brain injury (TBI) combined with extremity fracture. Meth-ods The study involved patients with no statistical difference in aspects of age, sex, GCS, fracture ,distri-bution and general condition. According to different treatment methods at early stage (<48 hours), the pa-tients with TBI were divided into Group A (early extremity fracture external fixation) and Group B (early extremity fracture traction or cast immobilization). A comparative observation was done on complications in-cluding bedsore, pneumonia and deep venous thrombosis and on duration in ICU, hospitalization, time for fracture healing and mortality in two groups. Results Incidence rate of bedsore, pneumonia, deep ve-nous thrombosis and mortality in Group A was lower than that in Group B (P<0.05), and Group A had shorter time for ICU, hospitalization and fracture healing (P < 0.05). Conclusion For patients with se-vere TBI combined with extremity fracture, early fracture external fixation is more effective to reduce com-plications, shorten the recovery time and reduce mortality, compared with conservative methods.
