Wozasek Gerald Eliot
Department of Trauma Surgery, Medical University of Vienna, Waehringerguertel 18-20, 1090, Vienna, Austria,
Strategies Trauma Limb Reconstr. 2015 Apr;10(1):59-63. doi: 10.1007/s11751-015-0212-8. Epub 2015 Mar 10.
Segmental long bone defects resulting from high-energy trauma with severe soft tissue loss are difficult problems to manage. Amputation was for a long time the primary mainstay of treatment. This is the report on a 15-year-old male patient who sustained a third-degree open, traumatic fracture with partial amputation of the left distal femur and extensive bone loss of 26 cm. Successful limb salvage was performed after vascular repair, shortening of the bone defect, primary placement of an antibiotic cement spacer and simple external fixation. This was followed by bifocal lengthening modifying the simple frame until limb equality was achieved and secondary intramedullary nailing 11 months after injury.
因高能创伤导致的节段性长骨缺损伴有严重软组织缺失，是治疗上的难题。长期以来，截肢一直是主要的治疗手段。本文报告了一名15岁男性患者，其遭受了左股骨远端三度开放性创伤骨折，伴有部分截肢及26厘米的广泛骨质缺损。在进行血管修复、缩短骨缺损、一期植入抗生素骨水泥间隔物及简单外固定后，成功实施了保肢手术。随后进行双焦点延长，对简单外固定架进行改良，直至双下肢等长，伤后11个月进行二期髓内钉固定。
