Stuhldreier G, Gaebel G, Kramer W, Neugebauer W
Chirurgische Universitätsklinik Tübingen.
Aktuelle Traumatol. 1989 Feb;19(1):28-34.
The following study reports the frequency, the promoting factors, the therapy and her results of the 32 patients with posttraumatic osteitis we treated between 1984 and 1986 in the Surgical University Clinic Tübingen. Most of the primary injuries were caused by traffic-accidents; especially dangerous were those with motor-bikes, which led frequently via open fractures of the shank to osteitis. We saw the highest infection-rates after plate-osteosyntheses. The infects became obvious in most cases either about one month after the accident or a year later coinciding with the increased use of the limb. The most frequent bacterium was Staph. aureus both in the mono-infections and in the mixed-infections forming a third of the group. We always performed an operative therapy with the intention to stabilize the bone and to clean the infection-site. The strict performance of this management led to infect-suppression in all cases with the need of only one amputation.
以下研究报告了1984年至1986年间我们在图宾根大学外科诊所治疗的32例创伤后骨炎患者的发病率、促发因素、治疗方法及其结果。大多数原发性损伤是由交通事故引起的；骑摩托车造成的损伤尤其危险，常导致小腿开放性骨折进而引发骨炎。我们发现钢板内固定术后感染率最高。大多数情况下，感染在事故发生后约一个月或一年后随着肢体使用增加而显现。无论是单一感染还是占该组三分之一的混合感染，最常见的细菌都是金黄色葡萄球菌。我们总是进行手术治疗，目的是稳定骨骼并清理感染部位。严格执行这种治疗方法导致所有病例的感染得到控制，仅需进行一次截肢手术。
