骨搬运治疗胫骨感染性骨不愈合1例：病例报道和文献综述

李 　妍1, 曾林 如*2
1、浙江中医药大学附属江南医院
2、杭州市萧山区中医院

摘要


病历报告：此次研究报道了一例外伤导致的闭合性胫腓骨粉碎性骨折的男性患者。由于既往治疗过程中内
固定支架放置位置不当出现骨感染。手术指征明确，经过清创和抗感染后，采用单边外固定支架进行骨搬运修复感
染导致的骨缺损。总结：该病例说明在彻底清创的前提下，骨搬运手术可以作为治疗感染性骨不愈合的可靠方法。

全文:

PDF


参考


[1]Struijs PAA, Poolman RW, Bhandari M. Infected

Nonunion of the Long Bones. Journal of Orthopaedic

Trauma. 2007;21(7):507-511.

[2]中华医学会骨科学分会创伤骨科学组，中华医学

会骨科学分会外固定与肢体重建学组，中国医师协会创

伤外科医师分会创伤感染专家委员会，中国医师协会骨

科医师分会创伤专家工作委员会.中国骨折内固定术后

感染诊断与治疗专家共识（2018版）.中华创伤骨科杂

志.2018；20（11）：8.

[3]Rohilla R, Sharma PK, Wadhwani J, Das J, Singh

R, Beniwal D. Prospective randomized comparison of

bone transport versus Masquelet technique in infected gap

nonunion of tibia. Archives of Orthopaedic and Trauma

Surgery. 2021:1-10.

[4]Mario M, Richard K, Henrik E, et al. Diagnostic

challenges and future perspectives in fracture-related

infection. Injury-international Journal of the Care of the

Injured. 2018;49:S83.

[5]Stucken C, Olszewski DC, Creevy WR, Murakami

AM, Tornetta PI. Preoperative diagnosis of infection in

patients with nonunions. Journal of Bone & Joint Surgery

American Volume. 2013;95.

[6]陈肖松，王长生，程迅生.感染性胫骨骨不连的治

疗现状及进展.中国骨与关节损伤杂志.2010；25（3）：3.

[7]殷渠东，孙振中，顾三军，包岳丰，韦旭明，宋

升.骨搬运与骨短缩-延长治疗胫骨骨缺损合并软组织缺

损的疗效比较.中国修复重建外科杂志.2014；28（7）：5.

[8]邵牧，罗俊浩，吴永伟，et al.外固定结合髓内钉

固定的骨搬运技术治疗胫骨骨缺损临床疗效.中国临床解

剖学杂志.2023；41（2）：6.

[9]Patzakis MJ, Zalavras CG. Chronic posttraumatic

osteomyelitis and infected nonunion of the tibia:

current management concepts. J Am Acad Orthop Surg.

2005;13(6):417-427.

[10]Brinker MR, Hanus BD, Sen M, O'Connor DP.

The Devastating Effects of Tibial Nonunion on Health-Related Quality of Life. The Journal of Bone and Joint

Surgery. 2013;95(24):2170-2176.

[11]张萌，张慎启.自体与同种异体骨软骨移植治疗

软骨缺损研究进展.医学临床研究.2012；29（5）：4.

[12]杨思敏，王新卫.自体骨移植修复骨缺损的临床

研究进展.中国疗养医学.2019；28（9）：4.

[13]Sen MK, Miclau T. Autologous iliac crest bone graft:

Should it still be the gold standard for treating nonunions?

Injury-international Journal of the Care of the Injured.

2007;38(1-supp-S):S75-S80.

[14]Bliven EK, Greinwald M, Hackl S, Augat P. External

fixation of the lower extremities: Biomechanical perspective

and recent innovations. Injury. 2019;50(8):S10-S17.

[15]Giannoudis PV, Harwood PJ, Tosounidis T,

Kanakaris NK. Restoration of long bone defects treated with

the induced membrane technique: protocol and outcomes.

Injury-international Journal of the Care of the Injured.

2016;47:S53.

[16]Lidan Y, Gang Z, Wenbin HE. Efficacy Analysis

of Masquelet and Ilizarov Technique in the Treatment of

Adult Bone Defect of Long Bone of Lower Extremity. Hebei

Medicine. 2018.


Refbacks

  • 当前没有refback。