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- W2374668506 abstract "Objective: To introduce the treatment of materials and the repairing of wounds for plate exposure after fracture surgery.Methods: The data of 275 cases with nickelclad exposure were reviewed from January 2000 to June 2011.The size of defect in the limb wounds,infection and the condition of surrounding soft tissues were comprehensively considered.Wound were treated with dressing change or wound debridement.The plate was kept if the wound was not infected or the infection was controled.The plate was removed and switched to external fixation with fixed support if infection was occurred.local rotation flaps,pedicle transfer flap,and free flap were used to repaire the wounds.Results: In 275 cases,10 cases were performed limb amputation,164 cases were kept plates,101 cases were removed l plates.In patients who reserved plates,14 cases were complicated by osteomyelitis,and the wounds were closed up by 1 to 4 times debridement,irrigation and drainage.Five cases were nonunion,and the fractures were healed by bone grafting.In patients who used external fixation,3 cases were complicated by osteomyelitis,and the wounds were closed up by irrigation and drainage.Two cases were nonunion,and the fractures were healed with free bone grafts and bone flap treatment.For the repairing of wounds,108 cases were performed local rotation flaps,of which,9 cases had part necrosis and the wounds were healed by dressing change.In 42 cases with island flaps,1 case had necrosis and the wound was closed up by free flap.In 125 cases with free tissue flaps,2 cases had venous crisis and the flaps survived after exploration,and 1 case had necrosis in free anterolateral femoral flap because of infection.Conclusion: For wounds with nickelclad exposure,part of the plates can be reserved with correct treatment and the wounds can get a better repair by the flap techniques." @default.
- W2374668506 created "2016-06-24" @default.
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- W2374668506 date "2012-01-01" @default.
- W2374668506 modified "2023-09-26" @default.
- W2374668506 title "Treatment of the Wounds with Nickelclad Exposure after Operation of Fracture" @default.
- W2374668506 hasPublicationYear "2012" @default.
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