| 外固定支架骨转移技术治疗股骨干骨髓炎大段骨缺损 |
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Received:August 20, 2014
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| 作者 | Author | 单位 | Unit | E-Mail |
| 林炳远 |
LIN Bing-yuan |
浙江省立同德医院骨科, 浙江 杭州 310012 |
Department of Orthopaedics, Tongde Hospital of Zhejiang Province, Hangzhou 310012, Zhejiang, China |
lingbingyuan@sohu.com |
| 郭峭峰 |
GUO Qiao-feng |
浙江省立同德医院骨科, 浙江 杭州 310012 |
Department of Orthopaedics, Tongde Hospital of Zhejiang Province, Hangzhou 310012, Zhejiang, China |
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| 黄凯 |
HUANG Kai |
浙江省立同德医院骨科, 浙江 杭州 310012 |
Department of Orthopaedics, Tongde Hospital of Zhejiang Province, Hangzhou 310012, Zhejiang, China |
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| 沈立峰 |
SHEN Li-feng |
浙江省立同德医院骨科, 浙江 杭州 310012 |
Department of Orthopaedics, Tongde Hospital of Zhejiang Province, Hangzhou 310012, Zhejiang, China |
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| 张晓文 |
ZHANG Xiao-wen |
浙江省立同德医院骨科, 浙江 杭州 310012 |
Department of Orthopaedics, Tongde Hospital of Zhejiang Province, Hangzhou 310012, Zhejiang, China |
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| 张春 |
ZHANG Chun |
浙江省立同德医院骨科, 浙江 杭州 310012 |
Department of Orthopaedics, Tongde Hospital of Zhejiang Province, Hangzhou 310012, Zhejiang, China |
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| 期刊信息：《中国骨伤》2015年28卷，第9期，第850-853页 |
| DOI：10.3969/j.issn.1003-0034.2015.09.015 |
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目的:探讨应用外固定支架骨转移技术治疗股骨干骨髓炎大段骨缺损的临床疗效及优势.
方法:2008年8月至2013年12月收治股骨干骨髓炎合并有大段骨缺损病例16例,男11例,女5例;年龄13~62岁,平均42岁;病程2个月~4.5年,平均18个月;骨缺损长度4.5~15 cm,平均7.8 cm.全部病例应用外固定架骨转移技术治疗骨缺损,术后1周开始骨转移,每天1 mm,分4次进行.
结果:全部病例均获得随访,时间10~36个月,平均22.5个月.16例中1例患者由于不配合治疗,致治疗失败,后采取截肢术.余15例骨髓炎均得到控制,其中12例骨转移达到Ⅰ期骨愈合,3例骨转移远端不能Ⅰ期愈合予以自体髂骨植骨后达到骨愈合,骨愈合时间5~13个月,平均7.9个月.13例患者双下肢长度基本一致,2例患者有1.5~2.0 cm肢体短缩畸形存在.外固定架拆除时间6~16个月,平均9.3个月.
结论:应用外固定支架骨转移技术是治疗股骨干骨髓炎大段骨缺损的有效方法之一,可控制感染,消灭创面,均衡肢体长度. |
| [关键词]:股骨 骨髓炎 骨折,不愈合 外固定器 |
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| Treatment of osteomyelitis and bone defect of femoral shaft by external fixation and bone transport |
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Abstract:
Objective: To discuss the clinical effects and superiority of applying external fixation and bone transport to treat osteomyelitis and bone defect of femoral bone.
Methods: From August 2008 to December 2013, 16 patients with osteomyelitis and bone defect of femoral bone were treated including 11 males and 5 females with an average age of 42 years old ranging from 13 to 62 years old. The average course of disease was 18 months ranging from 2 months to 4.5 years, and the average length of bone defect was 7.8 cm ranging from 4.5 to 15 cm. The bone defect of all cases were treated by external fixation and bone transport, the bone transport began at 1 week after operation, 1 mm per day and 4 times per day.
Results: All patients were followed up for 10 to 36 months (means 22.5 months). One patient did not cooperate with treatment leads to the failure, then took the amputation. The remaining 15 cases of osteomyelitis were under control, including 12 cases of bone transport achieved one stage bone union, 3 cases achieved bone union via bone graft from iliac bone. The bone union time was 5 to 13 months(means 7.9 months). Thirteen patients almost obtained the same length of two lower extremities, 2 patients had shortening of 1.5 to 2 cm. The time of moving the external fixation was from 6 to 16 months (means 9.3 months).
Conclusion: Application of external fixation and bone transport is an effective method in treating the osteomyelitis and bone defect that can control the infection, eradicate wounds, and be the equalization of limb length. |
| KEYWORDS:Femur Osteomyelitis Fractuers, ununited 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: | 林炳远,郭峭峰,黄凯,沈立峰,张晓文,张春.外固定支架骨转移技术治疗股骨干骨髓炎大段骨缺损[J].中国骨伤,2015,28(9):850~853 |
| 英文格式: | LIN Bing-yuan,GUO Qiao-feng,HUANG Kai,SHEN Li-feng,ZHANG Xiao-wen,ZHANG Chun.Treatment of osteomyelitis and bone defect of femoral shaft by external fixation and bone transport[J].zhongguo gu shang / China J Orthop Trauma ,2015,28(9):850~853 |
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