| 病变切除外固定支架固定及膜诱导技术治疗胫骨骨折术后骨髓炎 |
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投稿时间：2016-09-28
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| 作者 | Author | 单位 | Address | E-Mail |
| 范少地 |
FAN Shao-di |
解放军第451医院骨科, 陕西 西安 710054 |
Department of Orthopaedics, the 451 th Hospital of PLA, Xi'an 710054, Shaanxi, China |
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| 刘志恒 |
LIU Zhi-heng |
解放军第451医院骨科, 陕西 西安 710054 |
Department of Orthopaedics, the 451 th Hospital of PLA, Xi'an 710054, Shaanxi, China |
zhiheng-liu@hotmail.com |
| 胡万华 |
HU Wan-hua |
解放军第451医院骨科, 陕西 西安 710054 |
Department of Orthopaedics, the 451 th Hospital of PLA, Xi'an 710054, Shaanxi, China |
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| 吴国忠 |
WU Guo-zhong |
解放军第451医院骨科, 陕西 西安 710054 |
Department of Orthopaedics, the 451 th Hospital of PLA, Xi'an 710054, Shaanxi, China |
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| 唐立虎 |
TANG Li-hu |
解放军第451医院骨科, 陕西 西安 710054 |
Department of Orthopaedics, the 451 th Hospital of PLA, Xi'an 710054, Shaanxi, China |
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| 赵亮亮 |
ZHAO Liang-liang |
解放军第451医院骨科, 陕西 西安 710054 |
Department of Orthopaedics, the 451 th Hospital of PLA, Xi'an 710054, Shaanxi, China |
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| 期刊信息：《中国骨伤》2017年，第30卷，第4期，第372-376页 |
| DOI：10.3969/j.issn.1003-0034.2017.04.019 |
| 基金项目: |
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中文摘要:
目的：研究病变切除外固定支架固定结合膜诱导技术治疗胫骨骨髓炎的临床疗效。
方法：自2011年6月至2014年6月手术治疗13例胫骨骨髓炎患者，其中男8例，女5例；年龄16~67岁，平均（37.3±14.3）岁。Ⅰ期病变切除，抗生素骨水泥植入，外固定支架固定，6~8周诱导膜形成后Ⅱ期手术取出骨水泥，植骨并利用膜诱导技术修复骨缺损促进骨质愈合。
结果：随访24~52个月，13例感染无复发，骨质均获愈合，功能恢复良好。
结论：采用病变切除外固定架固定及膜诱导技术治疗胫骨骨折术后骨髓炎可以取得很好的治疗效果。 |
| 【关键词】胫骨 骨髓炎 骨折 外固定器 |
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| Excision of necrotic and infected tissues combined with induced membrane and external fixator technique for the treatment of chronic osteomyelitis in tibia after fracture operation |
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ABSTRACT
Objective: To investigate the clinical efficacy of excision of necrotic and infected tissues combined with induced membrane and external fixator technique to treat chronic osteomyelitis in tibia after fracture operation.
Methods: From June 2011 to June 2014,a total of 13 patients with tibia osteomyelitis were treated with excision of necrotic and infected tissues and external fixator technique in the first stage. There were 8 males and 5 females,ranging in age from 16 to 67 years old with an average of (37.3±14.3) years old. Within 6 to 8 weeks the induced membrane was formed and the induced membrane technique was applied to promote new bone forming in the second stage.
Results: Thirteen patients had no reinfection and achieved complete bone healing after 24 to 52 months follow-up. All the patients had satisfactory function.
Conclusion: Excision of necrotic and infected tissues combined with induced membrane and external fixator technique to treat chronic osteomyelitis in tibia after fracture operation can provide satisfactory results. |
| KEY WORDS Tibia Osteomyelitis Fractures External fixators |
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| 引用本文，请按以下格式著录参考文献： |
| 中文格式: | 范少地,刘志恒,胡万华,吴国忠,唐立虎,赵亮亮.病变切除外固定支架固定及膜诱导技术治疗胫骨骨折术后骨髓炎[J].中国骨伤,2017,30(4):372~376 |
| 英文格式: | FAN Shao-di,LIU Zhi-heng,HU Wan-hua,WU Guo-zhong,TANG Li-hu,ZHAO Liang-liang.Excision of necrotic and infected tissues combined with induced membrane and external fixator technique for the treatment of chronic osteomyelitis in tibia after fracture operation[J].zhongguo gu shang / China J Orthop Trauma ,2017,30(4):372~376 |
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