摘要
目的探讨外固定架进行3节段截骨骨搬运手术减少创伤后骨髓炎患者治疗周期的可能性。方法2017年2月收治左侧胫骨骨髓炎合并软组织缺损患者1例。通过术前计算机设计、预手术操作后．利用Orthofix单臂外固定架进行3处截骨骨搬运的手术方案。在分析该病例资料的基础上。回顾相关文献。结果在左小腿皮肤软组织愈合良好的同时．该术式在45d时间里完成了左胫骨12．5cm骨缺损的矿化．约为传统单节段骨搬运时间的1／3．并明显缩短了新生骨的矿化时间。后因随访时发现患者无意中操作不当．骨搬运的断端出现约5mm间隙，骨搬运术后第140天随访．间隙消失，已开始正常行走。结论本研究可能为骨髓炎骨缺损的治疗提供了一种可行的方法。可以明显缩短创伤后骨髓炎的治疗时间。从而降低治疗并发症。
Objective To explore the possibility of reduce the treatment cycle of post-traumatic osteomyelitis patients treat with bone transportations. Methods In February, 2017, a patient was diagnosis as left tibial osteomyelitis with soft tissue defects and treated. Before start trifocal bone transportation with Orthofix external fixator, we did preoperative practice with computer and model. Except this case we also had some article review in this report. Results This case not only finished 12.5 cm bone transportation in 45 days but also treated soft tissue defect before bone transportations. In this method we save almost 2/3 time to compare with monofocal bone transportations, and frame time were also faster than previous method. But because of some mishaps when we follow-up, the gap was occurred in docking side after 140 days follow-up that may need bone transplants. After 140 days of operation, the gap was disappeared. Conclusion A new type bone transportations in this study and it may reduce treatment time of osteomyelitis.
出处
《中华显微外科杂志》
CSCD
北大核心
2017年第6期555-559,共5页
Chinese Journal of Microsurgery
基金
国家自然科学基金（81360270）
关键词
创伤后骨髓炎
外固定架
骨缺损
三节段骨搬运技术
Post-traumatic osteomyelitis
External fixator
Bone defect
Trifocal, bone transportations
