J Korean Orthop Assoc.  1976 Jun;11(2):156-161. 10.4055/jkoa.1976.11.2.156.

A Clinical Analysis of Open Fractures of Long Bone

• Kang SY
• Lee KB
• Lee CJ
• Chang IY

• KMID: 2461318
• DOI: http://doi.org/10.4055/jkoa.1976.11.2.156

Abstract

This is to present the clinical analysis of 197 (165 Patients) open fractures of long bones which were treated at Han Gang Sacred Heart Hospital from December 1971 June 1975. The results obtained as follows: 1. The causes of injury were traffic accident 91, industrial accident 63, home acident 8 and other 3. 2. In this study, there were 139 males and 26 females. The main age incidence ranged 11-40 years. 3. Among the 197 cases, Tibia and fibula were affected mostly(54.8%) 4. Associated injuries included closed fracture of long bone 35, cerebral contusion 15, skull fracture 10, maxillofascial inury 9, joint dislocation 6 and other 21. 5. The method of treatment was chiefly debridement and primary closure of open wound with 16 internal fixation, followed by cast immobilization 161, skeletal traction 15 and pin & plaster. 5. 6. Consequent incidence of infection was 10.7% (deep 5.1%, superficial 5.6%) 7. The causative strains were coliform bacillus 28, pseudomonas 16, staphylococcus 6, streptococcus 1, and bacillus subtilis 1, 8. Death occured in 3 cases: the causes were sepsis due to pseudomonas 2 and anuria due to renal shut down 1.

MeSH Terms

Accidents, Occupational
Accidents, Traffic
Anuria
Bacillus
Bacillus subtilis
Contusions
Debridement
Dislocations
Female
Fibula
Fractures, Closed
Fractures, Open*
Heart
Humans
Immobilization
Incidence
Joints
Male
Methods
Pseudomonas
Sepsis
Skull Fractures
Staphylococcus
Streptococcus
Tibia
Traction
Wounds and Injuries