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帕皮诺骨移植术:一种肢体挽救技术。

The Papineau bone graft: a limb salvage technique.

作者信息

Mosher C M

出版信息

Orthop Nurs. 1991 May-Jun;10(3):27-32, 34.

PMID:2052410
Abstract

The Papineau bone graft is a limb salvage technique that is an effective treatment alternative to amputation for problematic, infected nonunion of long bone. The graft technique involves radical open bone debridement, cancellous bone grafting over a granulation tissue base, delayed soft tissue closure, and immobilization of the affected extremity. A cooperative effort is necessary between the patient and health care team to ensure the success of the graft procedure. A case study is presented in this article detailing the care involved for a patient undergoing the Papineau procedure.

摘要

帕皮诺骨移植术是一种肢体挽救技术,是治疗长骨有问题的感染性骨不连时替代截肢的有效治疗方法。该移植技术包括彻底的开放性骨清创、在肉芽组织基底上进行松质骨移植、延迟软组织闭合以及固定患侧肢体。患者和医疗团队之间需要共同努力以确保移植手术的成功。本文介绍了一个病例研究,详细说明了接受帕皮诺手术的患者所需的护理。

相似文献

1
The Papineau bone graft: a limb salvage technique.帕皮诺骨移植术:一种肢体挽救技术。
Orthop Nurs. 1991 May-Jun;10(3):27-32, 34.
2
Treatment of chronic osteomyelitis complicating nonunion and segmental defects of the tibia with open cancellous bone graft, posterolateral bone graft, and soft-tissue transfer.采用开放松质骨移植、后外侧骨移植及软组织转移治疗合并胫骨骨不连和节段性缺损的慢性骨髓炎。
J Trauma. 1990 Jan;30(1):49-54. doi: 10.1097/00005373-199001000-00008.
3
Infected tibial nonunion. Good results after open cancellous bone grafting in 37 cases.
Acta Orthop Scand. 1995 Oct;66(5):447-51. doi: 10.3109/17453679508995585.
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[One-stage management of infected nonunion using granulated cancellous bone autografting after debridement].清创后采用颗粒状松质骨自体移植对感染性骨不连进行一期治疗
Zhonghua Yi Xue Za Zhi. 2010 Jun 15;90(23):1609-11.
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Autogenous bone grafting in clinical osteomyelitis and septic nonunion (the papineau technique).
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Vascularized fibular grafts in the treatment of osteomyelitis and infected nonunion.带血管腓骨移植治疗骨髓炎和感染性骨不连。
Clin Orthop Relat Res. 1993 Aug(293):256-64.
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Single-stage treatment of infected tibial non-unions and osteomyelitis with bone marrow granulocytes precursors protecting bone graft.采用保护骨移植的骨髓粒细胞前体对感染性胫骨骨不连和骨髓炎进行一期治疗。
Int Orthop. 2018 Oct;42(10):2443-2450. doi: 10.1007/s00264-017-3687-8. Epub 2017 Nov 13.
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Fibula and tibia fusion with cancellous allograft vitalised with autologous bone marrow: first results for infected tibial non-union.采用自体骨髓活化的松质骨同种异体骨进行腓骨与胫骨融合:感染性胫骨骨不连的初步结果
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Chronic infected tibial nonunions with bone loss. Conventional techniques versus bone transport.伴有骨缺损的慢性感染性胫骨骨不连。传统技术与骨搬运术的比较
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Injury. 2010 Nov;41 Suppl 2:S72-7. doi: 10.1016/S0020-1383(10)70014-0.

引用本文的文献

1
Reconstruction of tibial bone defect in new age using the old age Papineau technique: A case series.采用老年Papineau技术重建新时代胫骨骨缺损:病例系列
Ann Med Surg (Lond). 2019 Nov 5;48:109-114. doi: 10.1016/j.amsu.2019.10.028. eCollection 2019 Dec.
2
Combined use of Ilizarov external fixation and Papineau technique for septic pseudoarthrosis of the distal tibia in a patient with diabetes mellitus.Ilizarov外固定术与Papineau技术联合应用于一名糖尿病患者的胫骨干骺端感染性假关节
Diabet Foot Ankle. 2014 Feb 12;5. doi: 10.3402/dfa.v5.22841. eCollection 2014.
3
The use of Papineau technique for the treatment of diabetic and non-diabetic lower extremity pseudoarthrosis and chronic osteomyelitis.
使用帕皮诺技术治疗糖尿病性和非糖尿病性下肢假关节及慢性骨髓炎。
Diabet Foot Ankle. 2011;2. doi: 10.3402/dfa.v2i0.5920. Epub 2011 Mar 4.