Hagen Jennifer, Chansky Howard, Nork Sean E, Taitsman Lisa A
Department of Orthopaedics and Sports Medicine, University of Washington, Seattle, WA, USA.
Geriatr Orthop Surg Rehabil. 2013 Jun;4(2):39-42. doi: 10.1177/2151458513502727.
Infected nonunions resulting in segmental bone loss are a devastating complication for patients and a difficult problem for surgeons. Adequate soft tissue coverage, return of mobility, fracture stability, and long-term freedom from infection are all important goals of treatment. Although there are numerous published studies that provide some treatment guidelines, there are patients who require unique and individualized solutions. In this report, we present a case in which an antibiotic-impregnated cement spacer was used as a component of the definitive treatment in a geriatric patient with segmental bone loss of the femur secondary to severe infection as a salvage technique to avoid amputation.
感染性骨不连导致节段性骨缺损，对患者而言是一种极具破坏性的并发症，对外科医生来说也是一个难题。充足的软组织覆盖、恢复活动能力、骨折稳定性以及长期无感染是治疗的重要目标。尽管有大量已发表的研究提供了一些治疗指南，但仍有患者需要独特的个体化解决方案。在本报告中，我们介绍了一例病例，一名老年患者因严重感染导致股骨节段性骨缺损，使用抗生素骨水泥间隔物作为确定性治疗的一部分，作为一种挽救技术以避免截肢。
