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外固定针道感染的预防与管理

Prevention and management of external fixator pin track sepsis.

作者信息

Ferreira Nando, Marais Leonard Charles

机构信息

Tumor, Sepsis and Reconstruction Unit, Department of Orthopaedic Surgery, Greys Hospital, University of KwaZulu Natal, Private bag X9001, Pietermaritzburg, 3201, South Africa,

出版信息

Strategies Trauma Limb Reconstr. 2012 Aug;7(2):67-72. doi: 10.1007/s11751-012-0139-2. Epub 2012 Jun 23.

Abstract

Pin track-associated complications are almost universal findings with the use of external fixation. These complications are catastrophic if it leads to the failure of the bone-pin interface and could lead to pin loosening, fracture non-union and chronic osteomyelitis. Strategies proposed for the prevention and management of pin track complications are diverse and constantly changing. Prevention of external fixation pin track infection is a complex and ongoing task that requires attention to detail, meticulous surgical technique and constant vigilance.

摘要

使用外固定时,针道相关并发症几乎是普遍存在的现象。如果这些并发症导致骨-针界面失效,那将是灾难性的,可能会导致钢针松动、骨折不愈合和慢性骨髓炎。针对针道并发症的预防和处理所提出的策略多种多样且不断变化。预防外固定针道感染是一项复杂且持续的任务,需要注重细节、精湛的手术技巧和持续的警惕。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f661/3535127/aad1608f4a3a/11751_2012_139_Fig1_HTML.jpg

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