Treatment of open fracture of lower limb in high altitude area

• Published in: Zhongguo gu shang Vol. 34; no. 12; p. 1132
• Main Authors: Deng, Jiang-Tao, Gao, Jian-Hua, Qu, Heng-Shun, Cheng, Huan, Sun, Shi-Kui, Yang, Xue-Tao
• Format: Journal Article
• Language: Chinese
• Published: China 25.12.2021
• Subjects: Adolescent; Adult; Altitude; Female; Fracture Fixation; Fracture Fixation, Internal; Fracture Healing; Fractures, Open; Humans; Lower Extremity - surgery; Male; Middle Aged; Tibial Fractures - surgery; Treatment Outcome; Young Adult; Fracture, open; Lower extremities; High altitude areas
• ISSN: 1003-0034
• DOI: 10.12200/j.issn.1003-0034.2021.12.008

To explore the treatment methods and experience of open fracture of lower limb in high altitude area. From January 2016 to January 2021, 62 patients with open fractures of lower limbs were treated by staged surgery with the concept of injury control orthopedics, emphasizing wound treatment and combining various fracture fixation methods. There were 51 males and 11 females, ranging in age from 14 to 59 years old, with a mean of (37.2±12.3) years old; and the course of disease ranged from 7 to 59 days, with a mean of (23.7±15.5) days. According to Gustilo Anderson classification, there were 14 cases of typeⅠ, 24 cases of typeⅡ, 14 cases of typeⅢA, 8 cases of typeⅢB and 2 cases of typeⅢC. The fracture repair and wound healing were observed, and the clinical efficacy was evaluated by Johner-Wruhs evaluation standard. Fifty-five patients were followed up, and the duration ranged from 4 to 36 months, with a mean of (14.7±8.5) months, and 7 cases were lost to follow-up. According to Johner-Wruhs evaluation criteria,