一期彻底清创联合单边外固定架骨搬移技术治疗感染性大段骨缺损的效果观察  

Clinical Observation of Radical Debridement Combined with Unilateral External Fixator Bone Removal Technology for Treatment of Infectious Large Bone Defects

作　　者：林佳生[1] 陈嵘[1] 严伟[1] 陈冬冬[1] 

机构地区：[1]厦门大学附属福州第二医院,福建福州350007

出　　处：《中外医学研究》2016年第24期112-113,共2页CHINESE AND FOREIGN MEDICAL RESEARCH

摘　　要：目的:探讨一期彻底清创联合单边外固定架行骨搬移技术治疗慢性骨髓炎及感染性骨不连造成骨缺损的效果。方法:选取2013年9月-2016年1月慢性骨髓炎和感染性骨不连造成骨缺损的患者12例,均行一期彻底清创、病骨切除联合单边外固定架行骨搬移、骨延长技术治疗,随访观察治疗效果。结果:平均随访(16.29±6.85)个月,骨搬移长度平均(13.58±5.51)cm。钉道感染9例,2例需手术,重度疼痛2例,接区骨不愈合4例,对位对线不良需切开调整1例,截肢2例,均无钉道松动和外支架断裂。结论:一期彻底清创联合骨搬移术是治疗慢性骨髓炎及感染性骨不连造成骨缺损的有效手段,但并发症较多,需临床医生结合患者的具体情况选择使用。Objective： To analyze the curative effect of radical debridement combined with unilateral external fixator bone removal technalogy for treatment of chronic osteomyelitis and infectious bone defect.Method： From September 2013 to January 2016 in our hospital, 12 patients with chronic osteomyelitis and infectious bone nonunion were selected and treated with radical debridement, disease of bone resection, unilateral external fixator bone removal and bone lengthening, the treatment effect was observed.Result： All patients were followed up for average （16.29 ± 6.85）months.The average length of bone transport was （13.58 ± 5.51）cm.9 patients had pin tract infection.2 cases needed surgical treatment.2 cases had severe pain.4 cases had docking site nonunion.1 case had axial deviation needed surgery.2 cases had the amputation.There was no loosening or external stent fracture.Conclusion： Radical debridement combined with unilateral external fixator bone removal technology is an effective way to treat infections bone defect.This treatment is associated with numerous complications and is chosen according to patient＇s specific situation.

关 键 词：慢性骨髓炎 感染性骨不连 骨缺损 骨搬移 骨延长 单边外支架 

分 类 号：R687.3[医药卫生—骨科学]