热带教学医院中治疗慢性骨髓炎的贝尔法斯特技术。
The Belfast technique for the treatment of chronic osteomyelitis in a tropical teaching hospital.
作者信息
Alonge T O, Ogunlade S O, Omololu A B
机构信息
Division of Orthopaedics and Trauma, Department of Surgery, College of Medicine, University of Ibadan, Nigeria.
出版信息
Int Orthop. 2003;27(2):125-8. doi: 10.1007/s00264-002-0416-7. Epub 2003 Jan 11.
Abstract
From September 1995 to August 2001, we treated 25 patients with chronic osteomyelitis of long bones by a two-stage technique. This consisted of the radical removal of all infected bone and soft tissue and immediate provision of soft-tissue cover. This was supplemented when necessary with delayed autogenous bone grafting. The average follow-up was 46 months (range: 19-80 months). One patient with haemoglobin sickle cell disease (HbSS) died after the second stage of surgery. There were four recurrences, one of which followed a myocutaneous flap that became necrotic. Ankylosis occurred in five patients.
摘要
1995年9月至2001年8月，我们采用两阶段技术治疗了25例长骨慢性骨髓炎患者。该技术包括彻底清除所有感染的骨组织和软组织，并立即提供软组织覆盖。必要时辅以延迟自体骨移植。平均随访46个月（范围：19 - 80个月）。1例镰状细胞血红蛋白病（HbSS）患者在第二阶段手术后死亡。有4例复发，其中1例发生在肌皮瓣坏死之后。5例患者出现关节强直。
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