A Clinical Study for Open Fracture of the Tibia
10.4055/jkoa.1985.20.5.945
- Author:
Myung Ryool PARK
;
Hyun Kee CHUNG
;
Kwang Hoe KIM
;
Il Yong CHOI
- Publication Type:Original Article
- Keywords:
Open fracture;
Rate of fracture union
- MeSH:
Accidents, Occupational;
Automobiles;
Classification;
Clinical Study;
Fractures, Open;
Humans;
Incidence;
Orthopedics;
Osteomyelitis;
Prognosis;
Staphylococcus;
Tibia;
Wounds and Injuries
- From:The Journal of the Korean Orthopaedic Association
1985;20(5):945-953
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Recently, the incidence of open fracture of tibial shaft has risen as a result of rapid increase in automobile and industrial accidents. The open fracture of tibial shaft is extremely difficult to treat and has a greater incidence of osteomyelitis, delayed union and nonunion. One hundred and forty two patients (146 cases) of the open fractures of tibial shaft were treated and managed at the Department of Orthopedic Surgery, Hanyang University Hospital from May, 1972 to May, 1984. The results were as follows; 1. In 43.2% of all cases, ordinary culture test for open wound was positive and staphylococcus was predominant. 2. A relatively same rate of fracture union was shown in any portion of tibial shaft. 3. A better prognosis of the fracture type was shown in the oblique, transverse and spiral fracture than in the comminuted and segmental fracture. 4. According to the classification of Ellis, the higher delayed and nonunion rate was shown in major severity group than moderate and minor ones. 5. In minor and moderate severity group, the relatively same rate of fracture union was shown in conservative or operative treatment, but in major severity group, conservative treatment was better than operative treatment. 6. In upper 1/3 and middle 1/3 of the tibia, the relatively same delayed and nonunion rate was shown in conservative or operative treatment and lower 1/3 of the tibia, the high delayed and non-union rate was shown in operative treatment. 7. In comminuted, oblique and transverse fracture, the high delayed and nonunion rate was shown in operative treatment, but in other type of fracture, the relatively same delayed and nonunion rate was shown.
