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开放性胫骨骨折髌上钉固定术后膝关节脓毒症：急性畸形与外固定治疗

Knee Sepsis after Suprapatellar Nailing of an Open Tibia Fracture: Treatment with Acute Deformity and External Fixation.

作者信息

Minoughan Chelsea E, Schumaier Adam P, Avilucea Frank R

机构信息

University of Cincinnati Department of Orthopaedics and Sports Medicine, Cincinnati, OH, USA.

Orlando Health Orthopedic Institute Orthopedic and Sports Medicine Group, Orlando, FL, USA.

出版信息

Case Rep Orthop. 2019 Jan 6;2019:3185286. doi: 10.1155/2019/3185286. eCollection 2019.

DOI:10.1155/2019/3185286
PMID:30723563
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6339744/
Abstract

CASE

A 31-year-old male was involved in a dirt bike accident and sustained an isolated type II open mid-distal tibia fracture. The patient underwent suprapatellar intramedullary nailing and subsequently developed knee sepsis.

CONCLUSION

This patient was managed with irrigation and debridements of the knee, fracture site, and intramedullary canal. A resultant soft-tissue defect over the fracture site obviated primary closure. Creation of an acute deformity stabilized by a Taylor spatial frame allowed primary wound closure. After soft tissue healing occurred, the frame was used to correct the intentional deformity and maintain reduction until full healing occurred.

摘要

病例

一名31岁男性遭遇摩托车事故，导致孤立性II型胫骨干中远端开放性骨折。患者接受了髌上髓内钉固定，随后发生膝关节脓毒症。

结论

该患者接受了膝关节、骨折部位及髓内管的冲洗和清创处理。骨折部位出现的软组织缺损使一期缝合无法进行。通过泰勒空间架固定造成急性畸形，从而实现了伤口一期闭合。软组织愈合后，利用该架子矫正人为造成的畸形并维持复位状态，直至完全愈合。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/95b3/6339744/86bf2b744641/CRIOR2019-3185286.005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/95b3/6339744/c87cbc4dbe58/CRIOR2019-3185286.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/95b3/6339744/7a6066991279/CRIOR2019-3185286.002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/95b3/6339744/c5e44bd8a2ad/CRIOR2019-3185286.003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/95b3/6339744/9c297a684a30/CRIOR2019-3185286.004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/95b3/6339744/86bf2b744641/CRIOR2019-3185286.005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/95b3/6339744/c87cbc4dbe58/CRIOR2019-3185286.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/95b3/6339744/7a6066991279/CRIOR2019-3185286.002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/95b3/6339744/c5e44bd8a2ad/CRIOR2019-3185286.003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/95b3/6339744/9c297a684a30/CRIOR2019-3185286.004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/95b3/6339744/86bf2b744641/CRIOR2019-3185286.005.jpg

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J Orthop Trauma. 2018 Feb;32(2):88-92. doi: 10.1097/BOT.0000000000001024.
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