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KMID : 0378019730160010064
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New Medical Journal
1973 Volume.16 No. 1 p.64 ~ p.68
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A Clinical Analysis of Treatment of Open Tibial Fracture
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Abstract
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The results of the treatment upon total of 79 cases of closed and open fracture of the tibia treated in the year 1966 through 1971 at the Department of Orthopedic Surgery, National Medical Center has been analyzed comparatively in this report.
1. Primary bony union occurred in all the cases of closed fractures of 30 cases, whereas 38 cases had primary bony union among 49 cases of open fractures. Further, 16 cases out of 25 cases of open fracture, of which wound was treated by primary closure, had primary bony union, whereas, 22 cases out of 24 cases of open fracture, of which wound was treated by delayed primary closure, had
primary bony union.
The incidence of bony union was considerably higher in the group of open fracture of which wound was treated by delayed primary closure than that of the group of primary closure.
2. The incidence of primary healing of the wound in the group of delayed primary closure was remarkably higher than that of the group of primary closure of the wound. As 11 cases out of 25 cases had primary healing of the wound in the group of primary closure, whereas 21 cases out of 24 cases had primary healing of the wound in the group of delayed primary closure.
3. The mean duration of bony union in closed fracture was 19 weeks, and that of open fracture treated with primary closure of the wound was 25 weeks, whereas that in the group of delayed primary closure of the wound was 20 weeks. Bony union occurred earlier in the group of delayed primary closure than in the group of primary closure of the wound.
4. The incidence of the complications, such as infection, osteomyelitis, non union, occurred higher in the group of primary closure than that of delayed primary closure of the wound. The complications occurred remarkably higher in the group of primary osteosynthesis in open fracture of the tibia.
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