Abstract：Severe open fractures of the lower limb are often accompanied by bone defect, soft tissue defect and vascular injury, which greatly endangers safety of the lower limb. Limb salvage treatment is a difficult problem in orthopedic trauma. Now the main problems of limb salvage treatment in China are the lack of professional regional treatment system, ambiguity in the timing of debridement and the qualification of debridement doctor and delayed soft tissue coverage. As a result, the majority of patients cannot achieve satisfactory recovery of limb function. The concept of Orthoplastics was first advocated in the publication of guidelines for the treatment of open fractures in lower limbs by British Orthopaedic Association.There are significant advantages of Orthoplastic strategies, such as less frequency of operation, less healing time of the fracture, lower infection rate and other complications. This strategy brings us new direction for the treatment of severe open fractures of the lower limb. The authors mainly analyze the problems in treatment of severe open fractures of the lower limb, introduce the new concept of orthoplastics, improve the understanding of treatment of severe open fractures of the lower limb in Orthopaedic surgeons, so as to provide references for improving the treatment effect.
赵广跃 祝勇刚 杨照. 严重下肢开放性骨折治疗存在的问题和骨整形新策略[J]. 中华创伤杂志, 2020, 36(12): 1057-1060.
Zhao Guangyue, Zhu Yonggang, Yang Zhao.. Problems and new orthoplastic strategies in treatment of severe open fractures of the lower limb. CHINESE JOURNAL OF TRAUMA, 2020, 36(12): 1057-1060.
