Laporte C, Demachy M C, Thevenin-Lemoine C
Service de Chirurgie Orthopédique et Traumatologique, Hôpital de Meaux, 6 bis, rue Saint-Fiacre, 77100 Meaux, France.
Rev Chir Orthop Reparatrice Appar Mot. 2002 Oct;88(6):625-7.
Bone infection is not an uncommon complication of open tibial shaft fractures. We report an unusual case of chronic tibial osteitis caused by Pantoea agglomerans after an open grade IIIB tibial shaft fracture. P. agglomerans, an enterobacteria, was identified on bone samples obtained nine months after the fracture. The infection probably resulted from the initial soil contamination and developed despite fixation and bone covering with a muscle flap performed during the same operative time and adapted intravenous antibiotics.
骨感染是开放性胫骨干骨折并不罕见的并发症。我们报告了一例开放性ⅢB型胫骨干骨折后由成团泛菌引起的慢性胫骨骨炎的罕见病例。在骨折九个月后获取的骨样本中鉴定出了成团泛菌这种肠杆菌。感染可能源于最初的土壤污染，尽管在同一手术时间进行了内固定、用肌瓣覆盖骨面并应用了静脉抗生素，但感染仍发生了。
