title: [2d- and 3d-degree open fractures of the long tubular bones--therapeutic management and treatment results].
abstract: In compound fractures, after debridement and stabilisation, primary open wound treatment with synthetic skin substitute is the method of choice. A follow-up examination of 171 second- and third-degree compound fractures between April 1974 and June 1981 showed an infection rate of 18,7% and an osteitis rate of 14,6%. In 23 cases conservative surgery was performed, in 17 cases primary amputation was necessary. In 85% of all cases bone healing was achieved after an average of 5,4 months.
mesh_terms: D000293:Adolescent; D000328:Adult; D000671:Amputation, Surgical; D001134:Arm Injuries / Q000601:surgery*; D001860:Bone Plates; D005500:Follow-Up Studies; D005593:Fracture Fixation, Internal; D005597:Fractures, Open / Q000601:surgery*; D006801:Humans; D007430:Intraoperative Care / Q000379:methods; D007869:Leg Injuries / Q000601:surgery*; D008297:Male; D011182:Postoperative Care / Q000379:methods; D011300:Preoperative Care / Q000379:methods; D013530:Surgical Wound Infection / Q000453:epidemiology
vernacular_title: Zweit- bis drittgradig offene Frakturen langer Röhrenknochen--therapeutisches Management und Behandlungsergebnisse.