Locking plate external fixation combined with topical negative pressure drainage in treatment of 36 cases of children with open fractures in lower limbs
YNAG Wei-qiang
JIANG Zhen-gang
GUO Xin-jun
FENG Li-ping
Abstract：Objective To observe the effect of locking plate external fixation combined with topieal negative pressure drainage in treatment of open fractures in lower limbs of children .Methods Thirty-six children ( aged 5-14 years ) with open fractures in lower limbs were selected .The locking plate external fixation combined with negative pressure drainage was used in the treatment .Three to eight months after surgery , the healing of the fracture was evaluated based on the ima-ging data, and then the locking plate external fixation was removed .The efficacy was analyzed in accordance with the Flynn fracture healing criteria.Results All 36 patients were followed up.The bone healing time was 3-7 months.The locking plate was removed within 4-8 months.Primary healing was found in 8 cases, 8 cases of second intention and 20 cases nee-ded skin grafting by second intention .According to the Flynn fracture healing criteria , 28 cases were excellent , 7 cases were good, one was poor , and the excellent and good rate was 97.2%.Three pediatric fractures had delayed union .One had limited knee joint function due to the injury of muscle and skin damage caused by vehicle rolling .One case was dis-charged without timely review , due to early ambulation , the tibia deformity healing >10°was found in 5 months.There were no fracture non-union, re-fracture and other complications in this group .Conclusion The effect of locking plate ex-ternal fixation combined with topical negative pressure drainage in treatment of open fractures in lower limbs of children is good.
Keywords：lower-limb fracturesopen fractures in lower limbsfracture fixationlocking plate external fixationnegative pressure drainagechildren
Publication Date：2015-10-16
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：3( 32-34 )