摘要
目的探讨Masquelet技术在创伤后骨髓炎中应用的疗效。方法 采用Masquelet技术治疗15例创伤后骨髓炎患者,术后记录并发症、完全负重时间及骨缺损愈合情况。结果 患者均获得随访,时间5~18个月。无取髂骨处并发症,无内(外)固定失效,无术后再发骨折。1例第1阶段术后3周感染复发,再次行第1阶段手术后感染得到控制。完全负重时间为14~32周。末次随访时根据Paley标准评定骨缺损愈合情况:优9例,良6例。结论 Masquelet技术可以有效治疗创伤后骨髓炎,操作简便,并发症少,疗效满意。
Objective To investigate the clinical outcomes of Masquelet technique for treatment of posttraumatic osteomyelitis. Methods The 15 patients with posttraumatic osteomyelitis were treated with Masquelet technique. The follow-up evaluation included clinical complications,full weight-bearing time and bone defect healing situation. Results All the patients were followed up for 5~18 months. No iliac incision infections, internal/external fixator failure, or refracture occurred during follow-up. Relapse of infection was observed in 1 patient at 3 weeks postoperation in the first stage. It was controlled after repeating the first stage surgery. The patients achieved full weight-bearing at 14~32 weeks. According to Paley evaluation of bone defect healing at the last follow-up, the results were excellent in 9 cases, good in 6. Conclusions Masquelet technique is an effective approach in the treatment of posttraumatic osteomyelitis bone defects. The technique require simple opreation, provide satisfactory results with minimal complications.
作者
凌建生
陈鹏
杨冬松
郭前进
甄相周
LING Jian-sheng;CHEN Peng;YANG Dong-song;GUO Qian-jin;ZHEN Xiang-zhou(Section Ⅱ ,Dept of Orthopaedics,the Second Affiliated Hospital of Luohe Medical College,Luohe,Henan 462300, China)
出处
《临床骨科杂志》
2019年第5期610-612,共3页
Journal of Clinical Orthopaedics
基金
河南省科技攻关项目(编号:182102310148)
