Masquelet技术治疗四肢长骨干慢性骨髓炎的研究进展  

Progress in research into the Masquelet technique for chronic osteomyelitis of limbs

作　　者：郭艳辉 孟宪勇[1,4] 何红英 韩力 黎庆 王晓伟[2,3] 张建政 Guo Yanhui;Meng Xianyong;He Hongying;Han Li;Li Qing;Wang Xiaowei;Zhang Jianzheng(raduate School,Hebei North University,Zhangjiakou 075000,China;Senior Department of Orthopedics,PLA General Hospital,Beijing 100048,China;The National Clinical Research Center for Orthopedics,Sports Medicine&Rehabilitation,Beijing 100048,China;The First Affiliated Hospital of Hebei North University,Zhangjiakou 075000,China)

机构地区：[1]河北北方学院研究生院,张家口075000 [2]解放军总医院第四医学中心骨科医学部显微外科,北京100048 [3]国家骨科与运动康复临床医学研究中心,北京100048 [4]河北北方学院附属第一医院,张家口075000

出　　处：《中华创伤骨科杂志》2024年第7期636-639,共4页Chinese Journal of Orthopaedic Trauma

基　　金：解放军总医院新技术项目(2023102)。

摘　　要：Masquelet技术是一种治疗四肢长骨干慢性骨髓炎安全、有效的治疗措施,绝大部分骨髓炎可以最终获得控制,并实现节段骨缺损的修复和肢体功能的康复。随着临床应用的积累,影像学技术的发展,四肢长骨干慢性骨髓炎感染范围的界定、软组织缺损修复的精准化术前设计、骨性结构稳定程度的评估、植骨材料等都取得了飞速的进步。本文从Masquelet技术的技术理论基础、操作关键、固定方式的选择等方面综述Masquelet技术治疗四肢长骨干慢性骨髓炎的进展,以期提高大家对此方面的认识。Masquelet technique has become a safe and effective treatment for chronic osteomyelitis of the long limb shaft.The vast majority of osteomyelitis can be ultimately controlled,segmental bone defects repaired and limb functions restored.Accumulation of clinical applications and development of imaging technology have led to rapid progress in determining the infection scope of chronic limb osteomyelitis,precise preoperative design for repair of soft tissue defects,evaluation of bone structure stability,and use of bone grafting materials.This article reviews the progress of Masquelet technique in the treatment of chronic limb osteomyelitis from the aspects of its theoretical foundation,key operations,and selection of fixation methods,hoping to deepen the understanding of current Masquelet technique.

关 键 词：骨髓炎 骨干 四肢 慢性 Masquelet技术 

分 类 号：R687.3[医药卫生—骨科学]