摘要作者报道1960~1978年在积水潭医院治疗胫骨干开放骨折共154例（158个骨折）。经清创和一期闭合伤口处理后，总的皮肤坏死和感染率为27%（43/158），因深层感染发生骨髓炎者占5%（8/158），骨折不愈合占7%（11/158）。本组资料与文献相比，皮肤坏死率和骨折不愈合率偏高。在处理胫骨开放骨折时应选用延期一期闭合，特别对Ⅱ级和Ⅲ级者更为适用，而对所有伤口均采用一期闭合的方针应予修正。但对其他部位的开放骨折，一期闭合伤口仍有其广泛适应证。

abstractsThe authors reported 154 cases of open tibial fractures (158 fractures) treated primarily at Jishuitan Hospital from 1960 to 1978. The overall rate of skin necrosis and infection was 27% (43/ 158), of which only 8(5%) legs developed deep infection and osteomyelitis. The non-union rate was 7% (11/158). Comparing with the literatures, there was a high incidence of skin necrosis and non-union of the fracture. As an alternative treatment of open tibial fractures, especially grade II to III, delayed primary closure is indicated. The policy of closing all the wounds primarily should be revised. However, for the open fracture of other locations, primary closure still has extensive indications.