Treatment for 332 cases of lower leg fracture in ＂5.12＂ Wenchuan earthquake

• Published in: Chinese journal of traumatology Vol. 13; no. 1; pp. 10 - 14
• Main Author: 刘雷 唐新 裴福兴 屠重棋 宋跃明 黄富国 杨天府 王光林 方跃 张晖 钟刚
• Format: Journal Article
• Language: English
• Published: China Elsevier B.V 01.02.2010; Department of Orthopedics,West China Hospital,Sichuan University,Chengdu 610041,China
• Subjects: Adolescent; Adult; Aged; Aged, 80 and over; Child; China; Compartment Syndromes - etiology; Earthquakes; Female; Fracture Healing; Fractures, bone; Fractures, Bone - surgery; Humans; Leg; Leg - blood supply; Leg - innervation; Leg Injuries - surgery; Male; Middle Aged; Retrospective Studies; Wounds and injuries; 临床治疗; 伤口感染; 创面修复; 数据收集; 神经损伤修复; China; Fractures, bone; Earthquakes; Wounds and injuries; Leg; Fractures,bone
• ISSN: 1008-1275
• DOI: 10.3760/cma.j.issn.1008-1275.2010.01.002

Objective： To retrospectively analyze the medical treatment of 332 patients with lower leg fracture in Wenchuan earthquake admitted in West China Hospital. Methods： From May 12, 2008 to June 15, 2008, 332 patients with lower leg fracture injured in Wenchuan earthquake were treated in our hospital. The data on trauma condition and clinical treatment were collected and analyzed. Results： Among the 332 cases of lower leg fracture, there were 179 eases of open fracture, accounting for 53.9%, in which 91% belonged to Gustilo Ⅱ or Ⅲ injury with serious pollution. Many patients had posttraumatic complications, vascular and nerve injury, wound infection or osteofascial compartment syndrome. After medical treatment, blood vessels were reconnected, wound surface was repaired and wound infection was under control. Conclusion： For the patients with lower leg fracture in earthquake, we followed the principle of ＂complete debridement - restoring the continuity of bone bracket - timely recovering blood supply of limbs and repairing nerve damage - repair the wound surface at stage Ⅰ or Ⅱ ＂ so as to reduce the incidence of amputation and infection.