The Effective of 21 Lower Leg Fracture with Osteofascial Compartment Syndrome Treated by Vacuum Sealing Drainage
Combined with External Fixation
Abstract: Objective: To investigate the clinical efficacy of vacuum sealing drainage combined with external fixation in the treatment of lower leg fracture and osteofascial compartment syndrome. Method: 36 patients of lower leg fracture with osteofascial compartment syndrome, all osteofascial compart- ment open decompression, fractures were treated with limited internal fixation and external fixation. Wounds were divided into Vacuum sealing drainage group and gauze dressing group randomly. 21 patients with vacuum sealing drainage technique and 15 patients dressed with sterile gauze pad, give wound suture or skin grafting after the swelling subsids and postoperative wound drainage and healing time are observed. The patients were followed-up according to Johner-Wruhs tibial curative effect evaluation standard of lower leg function recovery. Results: All patients were followed by 7 months to 3 years (average 18.2 months). The average postoperative drainage gauze group was about 180.5 ml, vacuum sealing drainage group was about 240.2 ml (P < 0.05), wound healing time gauze group was 19.3 days, the negative pressure drainage group was 15.6 days (P < 0.05). Vacuum sealing drainage group had superficial infection in 3 cases, 2 cases of pinhole infection, the average healing time was 8.6 months. According to the Johner-Wruhs tibia curative effect evaluation standard of leg function recovery, 27 cases were excellent, 6 cases were good, 3 cases were poor, the excellent and good rate was 91.7%. Conclusion: Vacuum sealing drainage combined with external fixation in the treatment of lower leg fracture complicated with osteofascial compartment syndrome is simple to operate and effective, which can be widely carried out in the primary hospitals.
文章引用: 管孟芹 , 赵 刚 , 贺 鹏 , 王 棚 (2014) 真空负压封闭引流结合外固定支架治疗小腿骨折并骨筋膜室综合征21例疗效观察。 外科， 3， 19-23. doi: 10.12677/HJS.2014.33005
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