Phẫu thuật điều trị gãy xương hở trẻ em

Bài viết nhận xét lâm sàng và đánh giá kết quả phẫu thuật điều trị gãy xương hở trẻ em và những nguyên tắc điều trị gãy xương hở bao gồm cắt lọc và tưới rửa vết thương, kháng sinh tĩnh mạch, làm vững ổ gãy.

 JKLMNOJPQRSNTUV WXYZ[W\]^[W _)(#7&)(4#&28-(,19(, 4,#&'("`-(#a; (#A(bcI%d; e@(,7@Ef(#,&f3gIh-iH#j-I#-AIE&k-I8,j.b19(,#lI8m3n BI81o(,#FH,j.b19(,#lE19"E&k-I8Ip(q; 8Eg(8 8>2-r&6)(#(#d(IpB2Eg( 2s 27t u1v&I-r&>3n789 28tI8mI8!&7@89B82DtI8m,f&>w#d(%4x&I#l**f$0q*$6 REPJ4$.$+(F.AP+.0"0 .A."} Vayay_deab`ặy|deđ`dy wM$$+(F.Ak.}P+.0"0'B*+JP+B6 $+f.A $(&HC L+;.A @&.+ *+S wẩ.A REPJv4$.$+(F.AP+.0"0 .A."} 0}ầ$(&HC>&2.$1*$HS.AÊuj A%E4 wM$$+(F.Ak.}+.0".L+~.A'B*+JP+B6 ẫ3.A %0 L.$H(.A0@C3>.0 7ACE @C3 w%S w&-.}$HI DIC=28>bbp lc…:PƒDD6:8J\012456T:EC15DK9:[CC[C ˆ2LxJ:P€2MNC=2:A‰C=C=[>:PƒDZn2@P8> DIC=28>lbpic…:PƒDD6:8J\]n2D6C:ŠC= T12456T:EDM‹5MAUD@fZ X[TtZ\012456 785 DŒC=D8 DEC: 28> =;> MAUD MEC: =JE 2:fP=KDL\012456TtZ C15DKŽJ1C€C=2VWCXYZ 7[C=H:PƒD :€C D:1 XxC =KD L›Š•=YD ;=D–;;f>—Š^Ae™_ŠT]N_U`a@=eœ“E=D@@ž@AšWS]PW_W`ai”@=@=C@d>›Š•=YD;=D–;MLD^ 234356789 8    C[igGUmBCrBSIDWN—NgL›™GU@iBCFjkYqBeC[iGFfœxgXžR[v^ T@ABCGIT@ABCYZ[DWJ JgxBF[^ ~FQBB{BCBF[^ ~FQBDFQBCLg`tmrEBFBF[^ ~FQBDHFH[BFW^ R[ ĂÂÊÔƠƯOgLLNt !./Đ&=62ă6*6â.+,-./2ê6.'5ô./ !"#$%&'( )*+,-./ 5678 ')*+,-./ 23./0#&%.1 )*+4& 95&: 0#&%.1 ; nD]1)2> 4; o8pm+]>8 qhe_`f gif._jkgNT89hkJ r[189 89896)Z8/QD8;GgNT89 |k.NL86 86}8/X-/6~891v)86@ 4)L8](< 86M1h9)z. 4L1P /6Q/ @6d8 -G 2; 89DGZ810//d8/t/X-/[BE869FGH'789J  6>;82W)/6)CDp;)/¡899)~@/6>9)T< /6511P /6Q/@6d889 16MG9)T< 1Â2L86)Y< U6DR81+>899FGH'789 6Igm++)11_q.Ê>+2>/U_qq|.m++)11_qfkJ Ô788?-./[BE86H'7899FG](< /6>@6Ơ@ /T)16)L81P/6Q/@6d889896)Z8/QD8;G./6~891v)BS16/ 6)L8/[BE861+>894()B)86Đ)+]/68m+8=)1XG 1()U6)2)C8 H'789 hi.`j gNT89 |k./[ BE86 89>;)HDGZ8 /6Ơ> B)86 Đ)+]/68m+6-)BdD H'789./[BE861W< 16z)4;+~1NOB)86]-Dh 1Dd8hfj 4;N=1NM1B=89B7816Dd8|i.fjJ &M1/T H'789 9FG /t2)C8H'789./6ă/t_ 1+'z896{@/-2HMD1+>89 9FG6I6-)H'789 /891-G.6W8/65]M@/891-Ghâl_1+'z89 6{@9FG6I1+Z82ê)/dDH'789/A861-G.]-D 16A89/t4ô>U6DÂD+ơJ ư6FD16D11G@mđ4;U6}DUb8p-UBdDJ 2àả ãáạĐ51\DT2}Dp;)/X-9FGH'7896I1+s m< BSB'{/ 896)Z8/QD1+>891;)2)LD/6ă86 6Ư86JV< h|.D689 B)CD 1+Ei 1+'z89 6{@ 9FG H'789 6I /891-G1+sm/A>/6ă/t_ 86)Y< U6DR8 ]}D 1+>89 896)Z8 /QDJ&M1/T NL8686}8B'{//0123/ 45116'789 4;1'() +,- /6> P9FG H'789Jrt “qj NL86 86}8 1+>8986tc/ 1[1.86¦8/6D89/t1)Z82'{891[1/6> 86?89 1P816'7898;GJ &+>89 @6ằ89 /M@ /QD 4()4)L/ 2;< 9)T< B-D.2;"(7H9 'F), I"9J# 7K9 +(7 (L+(M918+.(!>'(>N'OP&'(Q7+R>1)16,( 5S'T>K (UV, (6 5(W, (!> '(>N'0C 0UX+%=,D>N, '(>N' +Z 07H,#()=, ')=, +8 DX7+() 07[> 'F\ !" ]UV, (^'"._`OaF), (b7, (7J,+R> c, 0I"db, '(>N'+j'Dk+N''UY7F2bN' Dc,0c>5L,, b"D= (S',(795(>Ž,+/.1b> T>KDI"+(“)'F), %m,( '(>N'O;/, 0[ '=, (6 +lb,(79 5(>Ž,%m,(N''E7.(n, 9Z# 3b5(W, 5(I>5L,5‘0c>5L,1b> @AB, ="1b>9ZDc,0c>o%K, pqO a(Š7 7b,D7[,]UV, +() !"]UV, (^Ÿ a(Š7 7b,'F>, % ,(D7[,]UV, +()9&' !" ]UV, (^D= p#B'(6, #, % ,( D7[, ]UV, 0C0UX++W, %?D=``'>c,f@‹vŒhO aF), ,(89 '(W, %6)# '(Š7 7b, D7[, ]UV, 'F>, % ,(+() !"'"._ :::Ê>1'7D)o#v '(6, +():::Ô#`g#+():::Ơ" ,(7J, DE7'(/" D7[, ]UV, ]/> * 'F), ` 'FUŠ, (X !"'FJ,DQ7+c>'F), ,(89+8'>Z7 §``