Fan Shao-di, Liu Zhi-Heng, Hu Wan-Hua, Wu Guo-Zhong, Tang Li-Hu, Zhao Liang-Liang
Department of Orthopaedics, the 451th Hospital of PLA, Xi'an 710054, Shaanxi, China.
Department of Orthopaedics, the 451th Hospital of PLA, Xi'an 710054, Shaanxi, China;
Zhongguo Gu Shang. 2017 Apr 25;30(4):372-376. doi: 10.3969/j.issn.1003-0034.2017.04.019.
To investigate the clinical efficacy of excision of necrotic and infected tissues combined with induced membrane and external fixator technique to treat chronic osteomyelitis in tibia after fracture operation.
From June 2011 to June 2014, a total of 13 patients with tibia osteomyelitis were treated with excision of necrotic and infected tissues and external fixator technique in the first stage. There were 8 males and 5 females, ranging in age from 16 to 67 years old with an average of (37.3±14.3) years old. Within 6 to 8 weeks the induced membrane was formed and the induced membrane technique was applied to promote new bone forming in the second stage.
Thirteen patients had no reinfection and achieved complete bone healing after 24 to 52 months follow-up. All the patients had satisfactory function.
Excision of necrotic and infected tissues combined with induced membrane and external fixator technique to treat chronic osteomyelitis in tibia after fracture operation can provide satisfactory results.
探讨坏死及感染组织切除联合诱导膜及外固定架技术治疗骨折术后胫骨慢性骨髓炎的临床疗效。
2011年6月至2014年6月，13例胫骨骨髓炎患者在第一阶段采用坏死及感染组织切除及外固定架技术治疗。其中男性8例，女性5例，年龄16～67岁，平均（37.3±14.3）岁。6～8周内形成诱导膜，第二阶段应用诱导膜技术促进新骨形成。
13例患者均无再感染，随访24～52个月后均实现完全骨愈合。所有患者功能均满意。
坏死及感染组织切除联合诱导膜及外固定架技术治疗骨折术后胫骨慢性骨髓炎可取得满意效果。
