治疗胫骨开放性骨折的针束：医疗废橡胶桶的作用。

IF 2.7 4区医学 Q2 HEALTH CARE SCIENCES & SERVICES

Risk Management and Healthcare Policy Pub Date : 2025-04-28 eCollection Date: 2025-01-01 DOI:10.2147/RMHP.S509406

Yi Hu, Yu Peng, Kaihu Li, Jun Zhang

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引用次数: 0

摘要

目的：探讨医用废橡胶棒（MWRB）在使用外固定架（EFs）治疗开放性胫骨骨折患者针道管理中的应用效果。方法：回顾性分析我院3年来收治的91例开放性胫骨骨折患者的PTI总发生率、5个不同针道部位的PTI发生率、首次发生感染的时间（天）以及Checketts-Otterburn分类。结果：入选的91例患者中，88例符合标准。在排除死亡和随访损失后，他们被分为两个研究组，总体PTI发病率没有显著差异。A组严重感染发生率显著低于B组，初始感染时间显著延长（P < 0.05）。A组在胫骨毛细血管扩张处的PTI发生率也明显低于b组。结论：本研究强调，在EF治疗中有必要进行压迫，以显著降低严重PTI的发生率，特别是在胫骨干骺端，并延迟开放性胫骨骨折患者的初始感染的发生。

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Managing Pin Tracts in Open Tibial Fractures: The Role of Medical Waste Rubber Bung.

Objective: This study aims to assess the effect of using medical waste rubber bung (MWRB) for pin-tract management in patients with open tibial fractures treated with external fixators (EFs).

Methods: A retrospective analysis of 91 patients with open tibial fractures admitted to our hospital over a three-year period was conducted to compare and statistically characterize overall PTI incidence, PTI rate across five different pin-tract locations, time (days) to the first occurrence of infection, and Checketts-Otterburn classification.

Results: Among the enrolled 91 patients, 88 met the criteria. After excluding deaths and losses to follow-up, they were divided into two study groups, with no significant difference in overall PTI incidence. Group A exhibited a significantly lower rate of severe infection and prolonged time to initial infection compared to Group B (both P < 0.05). Group A also had a significantly lower rate of PTI at the tibial telangiectasia than Group B.

Conclusion: The study underscores that compression in EF management is necessary to significantly reduce the incidence of severe PTIs, especially in the tibial metaphysis, and to delay the onset of initial infection among patients with open tibial fractures.

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来源期刊

Risk Management and Healthcare Policy Medicine-Public Health, Environmental and Occupational Health

CiteScore

6.20

自引率

2.90%

发文量

242

审稿时长

16 weeks

期刊介绍： Risk Management and Healthcare Policy is an international, peer-reviewed, open access journal focusing on all aspects of public health, policy and preventative measures to promote good health and improve morbidity and mortality in the population. Specific topics covered in the journal include: Public and community health Policy and law Preventative and predictive healthcare Risk and hazard management Epidemiology, detection and screening Lifestyle and diet modification Vaccination and disease transmission/modification programs Health and safety and occupational health Healthcare services provision Health literacy and education Advertising and promotion of health issues Health economic evaluations and resource management Risk Management and Healthcare Policy focuses on human interventional and observational research. The journal welcomes submitted papers covering original research, clinical and epidemiological studies, reviews and evaluations, guidelines, expert opinion and commentary, and extended reports. Case reports will only be considered if they make a valuable and original contribution to the literature. The journal does not accept study protocols, animal-based or cell line-based studies.