Zawadziński S, Golecki M, Wasikowski A
Kliniki Ortopedycznej AM w Warszawie.
Chir Narzadow Ruchu Ortop Pol. 1990;55(2):139-44.
The results of treatment of 18 patients with post-inflammatory shaft defects of the long bones within the femur, the tibia, and the humerus have been presented. The defect ranged from 2 to 4 cm in most of the cases; it was 8 cm in one case, 10 cm in two cases and over 20 cm in two cases. The treatment method consisted in active, multidirectional surgical procedure overcoming the inflammatory process and changing the "infected" case into a "clean" one making possible to use the generally accepted treatment methods. Healing of grafts and bone union was obtained in all 18 cases, marked restriction of movement in the knee joint was found in 4 patients, and recurrence of the inflammatory process of mild clinical course was found in 4 cases.
本文介绍了18例股骨、胫骨和肱骨骨干炎性缺损患者的治疗结果。多数病例缺损范围为2至4厘米;1例为8厘米,2例为10厘米,2例超过20厘米。治疗方法包括积极的多方向外科手术,以克服炎症过程,将“感染”病例转变为“清洁”病例,从而能够采用普遍接受的治疗方法。所有18例患者的移植物均愈合且骨愈合良好,4例患者膝关节活动明显受限,4例患者出现临床症状较轻的炎症复发。