Tetsworth K, Cierny G
Maryland Center for Limb Lengthening and Reconstruction, Kernan Hospital, Baltimore 21207, USA.
Clin Orthop Relat Res. 1999 Mar(360):87-96. doi: 10.1097/00003086-199903000-00011.
Debridement of chronic osteomyelitis can be technically demanding and difficult. The surgical principles that govern treatment of osteomyelitis involve an atraumatic approach and complete removal of all devitalized tissue and foreign material. Despite recent advances in medical science, the quality of surgical debridement remains the most critical factor in the successful management of chronic orthopaedic infections. Important areas discussed include thorough preoperative evaluation, the surgical philosophy, soft tissue aspects, bone considerations, and dead space management.
慢性骨髓炎的清创术在技术上要求较高且具有挑战性。指导骨髓炎治疗的外科原则包括采用无创方法并彻底清除所有失活组织和异物。尽管医学科学最近取得了进展，但手术清创的质量仍然是慢性骨科感染成功治疗的最关键因素。讨论的重要方面包括全面的术前评估、手术理念、软组织问题、骨相关因素以及死腔处理。
