摘要
目的探讨Masquelet技术治疗胫骨慢性骨髓炎的效果。方法采用Masquelet技术治疗15例胫骨慢性骨髓炎患者,手术分两期进行,一期彻底清创,植入抗生素骨水泥,9例皮肤缺损患者选择合适皮瓣覆盖创面;二期感染控制后取自体骨或者自体骨混合异体骨植骨。结果 15例均获得随访,时间12~24个月。骨髓炎均得到控制,骨折均愈合,无复发。末次随访根据Paley标准评定骨缺损愈合分级:优12例,良3例。邻近关节功能恢复:优7例,良6例,可2例。结论 Masquelet技术具有疗效可靠、操作简单、并发症少、对受区要求低、易推广等优势,是治疗胫骨慢性骨髓炎的一种有效方法。
Objective To explore the effect of Masquelet technique in the treatment of chronic tibial osteomyelitis.Methods The 15 patients with chronic tibial osteomyelitis were treated with Masquelet technique. The surgical processes were included 2 stages. In the first stage,completely debridement was achieved and antibiotic bone cement was embedded. In this stage,9 patients with skin defects were received flaps to cover the wounds. In the second stage,autogenously bone graft（ with or without allergenic bone graft） was adopted after infection controlled. Results All the 15 patients were followed with a duration of 12 - 24 months. And the tibial chronic osteomyelitis was controlled in all patients,the fractures were healed,and no recurrence was detected. According to Paley evaluation of bone defect healing,the results were excellent in 12 patients and good in 3 patients. The joint function recovery was excellent in 7 cases,good in 6 cases,and fair in 2 cases. Conclusions The Masquelet technique is an effective method in the treatment of tibial chronic osteomyelitis with bone defect,as it has reliable curative effects,less complications and lower requirements for the surgical areas.
出处
《临床骨科杂志》
2017年第2期191-194,共4页
Journal of Clinical Orthopaedics
