外固定器结合封闭负压引流技术治疗胫腓骨骨折术后感染  

External fixator combined with vaccum sealing drainage for the infection after internal fixation in tibial and fibular fracture

作　　者：丁凡[1] 邵增务[1] 吴宏斌[1] 

机构地区：[1]华中科技大学同济医学院附属协和医院骨科,武汉430022

出　　处：《中国矫形外科杂志》2010年第8期645-648,共4页Orthopedic Journal of China

摘　　要：[目的]探讨外固定器结合封闭负压引流技术治疗胫腓骨骨折内阎定术后感染的临床效果：[方法]自2004年6月～2008年6月，采用外固定器结合封闭负压引流技术治疗胫腓骨骨折内固定术后感染36例。[结果]36例中32例获得8～30个月平均14个月的随访，全部感染控制，无1例复发；骨折骨性愈合，骨折平均愈合时间约4．5个月；外固定拆除的平均时间为5个月。[结论]外固定器结合封闭负压引流技术简单、可靠、创伤小、功能恢复好，是一种治疗胫腓骨骨折内固定术后感染较好的方法。[ Objective] To explore the effect of external fixator combined with vaccum sealing drainage （VSD） for the trcalment of infection after internal fixation in tibial and fibular fracture. [ Method] Thirty-six patients with infection after internal fixation in tibial and fibular fracture were treated by external fixator combined with VSI） from June 2004 to June 2008. [ Result] During the following-up period from 8 -30 months in thirty-two patients, the infection in all cases were controlled effectively, no case of recurrence was found in all patients ,and satisfactory healing were found in 32 cases. The average time of fracture union were 4. 5 months ;the removal time of external fixation were 5 months on average. [ Conclusion ] The combined operative procedure is simple,reliable and less traumatic and allow to early functional exercises. Therefore,it is a satisfactory measure for the infection after internal fixation in tibial and fibular fracture.

关 键 词：胫腓骨骨折 外固定器 封闭负压引流技术 

分 类 号：R687.3[医药卫生—骨科学]