资源匮乏地区的III型开放性胫骨骨折。第3部分：骨愈合的实现及节段性骨缺损的治疗

Type III open tibia fractures in low-resources setting. Part 3: achievement of bone union and treatment of segmental bone defects.

作者信息

Mathieu L, Mongo V, Potier L, Bertani A, Niang C D, Rigal S

机构信息

Service de chirurgie orthopédique, traumatologie et chirurgie réparatrice des membres, Hôpital d'instruction des Armées Percy, 101 avenue Henri-Barbusse, Clamart, France, Chaire de chirurgie appliquée aux armées, École du Val-de-Grâce, Paris.

Service de chirurgie orthopédique, traumatologie et chirurgie réparatrice des membres, Hôpital d'instruction des Armées Percy, 101 avenue Henri-Barbusse, Clamart, France.

出版信息

Med Sante Trop. 2019 Feb 1;29(1):36-42. doi: 10.1684/mst.2019.0863.

DOI:10.1684/mst.2019.0863

PMID:31031245

Abstract

After presentations of the principles of limb salvage and soft-tissue coverage for Gustilo III open tibia fractures, this third part is dedicated to management of tibial non-unions in low-resource settings. Inter-tibiofibular grafting and the induced membrane technique are preferred because they make it possible to deal with almost all situations. Key technical points of these methods are presented, followed by treatment guidelines based on Catagni's classification and bone defect size.

摘要

在介绍了Gustilo III型开放性胫骨骨折的保肢原则和软组织覆盖方法后，本文第三部分致力于低资源环境下胫骨骨不连的处理。胫腓骨间植骨和诱导膜技术是首选，因为它们能够应对几乎所有情况。文中介绍了这些方法的关键技术要点，随后是基于卡塔尼分类法和骨缺损大小的治疗指南。