尼日利亚南部三角洲州两家医院的外固定器使用情况

D. Odatuwa-Omagbemi, R. Enemudo, C. Otene, E. S. Imonijevwe, F. Ajise, C. Maduka, P. Uyebi, M.D. Ekpekpe
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引用次数: 0

摘要

目的:介绍我们在尼日利亚三角洲州两家政府所有医院使用各种类型外固定架的经验。方法:回顾性分析2012年1月至2019年12月尼日利亚三角洲州两家政府所有医院8年间使用外固定架治疗的患者。收集相关资料,包括生物资料、外固定指征、外固定架使用类型、外固定架使用时间等,使用IBM SPSS version 22进行分析。结果:共纳入94例患者,其中男性56例,女性38例,男女比例为1.5:1。患者平均年龄33.7+ 15.9岁。采用4种类型/设计的外固定架,以单平面AO设计最为常见(67.7%),其次是线性导轨系统(LRS)型(17.2%)。使用外固定架最常见的适应症是开放性骨折,占67.7%,其次是骨质流失导致的骨间隙(11.1%)。59例(59.6%)使用外固定架作为辅助治疗方法,40例(40.4%)使用外固定架作为最终治疗方法。53例(56.4%)患者最常用的针位护理液为聚维酮碘。患者使用外固定架的平均时间为124.8天(17.8周)。针道感染是最常见的并发症(26.6%)。取出外固定架最常见的适应症是开放性骨折的伤口愈合,并转向其他形式的治疗,通常是石膏应用(42.6%)。75%的病例达到了应用外固定架的最初目的。结论:外固定架已成为现代骨科和创伤护理器械中不可缺少的工具。我们的卫生设施也有效地参与其中。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
External fixators usage in two hospitals in Delta State south-south Nigeria
Objective: To present our experience in the use of various types of external fixators in two government owned hospitals in Delta State, Nigeria.Methods: A retrospective review of patients managed with external fixators over a period of 8 years – January 2012 to December 2019, in two government owned hospitals in Delta State, Nigeria. Relevant information including bio-data, indications for external fixation, types of external fixator applied, length of time fixators were applied, etc were collected and analysed using IBM SPSS version 22.Results: A total of 94 patients (56 males and 38 females) were included in this study giving a male: female ratio of 1.5 : 1. The mean age of patients was 33.7+ 15.9 years. Four types / designs of external fixators were used, the mono-planar AO design were the ones most commonly used (67.7%), followed by the linear rail system (LRS) type (17.2%). The most common indication for external fixator application was open fractures in 67.7% of cases, followed by bone gaps resulting from bone loss (11.1%). External fixators were used as adjunct to other treatment modalities in 59 applications (59.6%) and as the definitive treatment method in 40 applications (40.4%). The commonest solution used for pin site care was Povidone iodine in 53 patients (56.4%). The mean length of time patients were on external fixators was 124.8 days (17.8 weeks). Pin tract infection was the commonest complication encountered (26.6%). The commonest indication for removal of external fixators was the healing of the wounds in open fractures with conversion to other forms of treatment, commonly cast application (42.6%). The initial aim of applying the external fixator was achieved in 75% of cases.Conclusion: External fixators have become indispensable tools in the armamentarium of modern day Orthopaedic and trauma care. Our health facilities have also effectively keyed into this.
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