Gao Qiuming, Xue Yun, Deng Yinshuan, Zhou Shungang, Li Meng, Shi Peisheng
Orthopaedic Trauma of Orthopaedics Center, Lanzhou General Hospital of PLA, Lanzhou 730050, China.
Zhejiang Da Xue Xue Bao Yi Xue Ban. 2016 May 25;45(6):631-635. doi: 10.3785/j.issn.1008-9292.2016.11.12.
Eight patients with femoral osteomyelitis were admitted in Lanzhou General Hospital of PLA between July 2012 and July 2015. During the operation the femur was fixed with non-contact locking plate after thorough debridement. Iliac morselized cancellous bones without cortical bone were filled in the bone defect after debridement. The locking plates were placed in the lateral subcutaneous interface superficial to the vastus lateralis muscle. Drainage tubes were routinely placed postoperatively. The surgery was completed successfully in all patients, and the average operation time was (130±10) min (120-150 min). Intravenous antibiotics were administrated for 2 weeks and followed by 4 week-oral antibiotics after the operation in all 8 cases. Drainage tubes remained in situ about 8 days. All patients were followed up for 12-48 months, with an average of (19±7) months. Postoperative X-ray examination showed bone union in 7 cases with an average healing time of (16±5) weeks. One patient failed with relapsed infection, and was later treated with Ilizarov apparatus after secondary debridement. No plate and screw fracture, loose and fixation failure were observed in all 8 cases.
2012年7月至2015年7月期间，兰州军区总医院收治了8例股骨骨髓炎患者。手术过程中，在彻底清创后，使用非接触锁定钢板固定股骨。清创后，将不含皮质骨的髂骨碎松质骨填充于骨缺损处。锁定钢板置于股外侧肌表面的外侧皮下界面。术后常规放置引流管。所有患者手术均顺利完成，平均手术时间为(130±10)分钟(120 - 150分钟)。8例患者术后均静脉使用抗生素2周，之后口服抗生素4周。引流管留置约8天。所有患者均随访12 - 48个月，平均(19±7)个月。术后X线检查显示7例骨愈合，平均愈合时间为(16±5)周。1例患者感染复发治疗失败，二次清创后行Ilizarov架治疗。8例患者均未观察到钢板螺钉断裂、松动及固定失败。
