胫骨骨搬运常见并发症原因分析及处理  

Analysis and treatment of common complications of tibial bone transportation

作　　者：林庆荣[1] 余斌[1] LIN Qing-rong;YU Bin(Department of Orthopaedics,Nanfang Hospital,Southern Medical University,Guangzhou 510000,China)

机构地区：[1]南方医科大学南方医院骨科,广州510000

出　　处：《创伤外科杂志》2020年第6期401-407,共7页Journal of Traumatic Surgery

摘　　要：骨搬运是治疗骨感染及长骨骨缺损的一种常用的手术方式,因为技术简单、没有供区损伤,应用日益广泛。在取得良好疗效的同时,也暴露出许多问题,出现各种并发症,包括钉道感染、皮肤切割、关节僵硬或活动受限、断针断钉、关节不稳、搬运端成骨不良、足下垂,以及力线不良等,这些问题如果没有及时发现、及时处理,将会给患者带来许多不便,严重者需要再次或多次手术,即便如此也未必达到预期的疗效。本文针对胫骨骨搬运常见并发症,分析其发生的原因,提出处理的初步意见,以期使接受骨搬运的患者能尽量减少并发症,提高疗效。Bone transportation is a common surgical method for the treatment of bone infection and long bone defect.It is widely used because of its simple technique and lack of donor site damage.Not only getting good curative effect,it also exposes many problems and various complications,including infection of pin site,skin cutting,joint rigidity or limited movement,broken needle and nail,joint instability,poor osteogenesis of transported bone segment,foot drop,and poor force line of limbs.If these problems are not found and treated in time,they will bring many inconveniences to patients,and those who are serious need to be treated again.Even so the expected effect may not be achieved.According to the common complications of tibial bone transportation,this paper analyzes the causes of the complications,and puts forward the preliminary suggestions for the treatment,so as to reduce the complications as much as possible and improve the curative effect.

关 键 词：骨搬运 胫骨 并发症 外固定 

分 类 号：R683.42[医药卫生—骨科学]