外置钢板固定联合分期骨水泥植骨治疗感染性骨缺损  

External plate fixation combined with staged bone cement and bone grafting for treatment of infectious bone defects

作　　者：周敏[1] 简超[1] 李宗焕[1] 漆白文[1] ZHOU Min;JIAN Chao;LI Zong-huan;QI Bai-wen(Department of Traumatology and Microsurgery,Zhongnan Hospital,Wuhan University,Wuhan 430071,China)

机构地区：[1]武汉大学中南医院创伤与显微骨科,湖北武汉430071

出　　处：《中国矫形外科杂志》2021年第18期1698-1701,共4页Orthopedic Journal of China

摘　　要：[目的]评价应用外置钢板联合分期骨水泥植骨治疗感染性骨缺损的临床效果。[方法] 2015年1月—2019年1月,本科共收治感染性骨缺损患者26例,其中12例应用外置钢板分期骨水泥治疗(外置钢板组),14例应用外固定架分期骨水泥植骨治疗(外固定架组)。比较两组患者临床效果。[结果]两组患者均顺利完成手术。钉道并发症发生率,外置钢板组为3/12 (25.00%),外固定架组为9/14 (64.29%),差异有统计学意义(P<0.05)。两组患者手术次数、完全负重时间、骨性愈合时间的差异均无统计学意义(P>0.05)。但是,外置钢板组去除外固定时间显著晚于外固定架组(P<0.05)。[结论]对于分期骨水泥植骨治疗感染性骨缺损,外置钢板可取得与外固定架治疗相当的效果,且钉道并发生率更低。[Objective] To evaluate the clinical efficiency of external plate fixation combined with staged bone cement and bone grafting for infectious bone defects. [Methods] From January 2015 to January 2019, a total of 26 patients with infectious bone defect were surgically treated in our department. Of them, 12 patients received external plate fixation(the plate group), while remaining 14 patients received external frame fixation(the frame group). The clinical outcomes were compared between the two groups. [Results] All patients in both groups were operated on successfully. The incidence of pin tract complications was 3/12(25.00%) in the plate group, whereas 9/14(64.29%) in the frame group, which was statistically significant(P<0.05). There were no statistically significant differences in term of the number of operations, time to return complete weight bearing, and bone healing time between the two groups(P>0.05), however, the plate group had external fixation removed significantly later than the frame group(P<0.05). [Conclusion] Regarding to staged bone cement and bone grafting for infectious bone defects, the external plate has considerably lower pin related complication, while the same clinical outcome compared with the external frame.

关 键 词：钢板外固定 感染性骨缺损 分期骨水泥 外固定 

分 类 号：R687[医药卫生—骨科学]