跟骨骨折术后皮肤坏死保守治疗分析
Zhejiang Clinical Medical Journal(2019)
Abstract
跟骨骨折是最常见的跗骨骨折,占跗骨骨折的60%,占全身骨折的2%[1].约75%为关节内骨折[2].严重的跟骨骨折处置较为困难,常需要手术切开复位内固定治疗,由于跟骨周围软组织少、覆盖层软组织较薄,其术后切口易出现皮肤坏死,继发骨及内固定物外露的问题[3].跟骨骨折术后皮肤坏死这一常见而又严重的并发症处理较为困难,单纯换药,常引起创面不愈合,甚至坏死面积扩大,引发感染.作者应用康复新液和庆大霉素针剂换药保守治疗,促使创面愈合,取得满意疗效,现报道如下.
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