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胫骨外固定8年后环形死骨完全排出。

Complete ejection of a ring sequestrum 8 years after external fixation of the tibia.

作者信息

Timmer Isabella Regina, Emmink Benjamin Lucas, Leenen Loek Petrus Hendrikus, Govaert Geertje Anna Maria

机构信息

Department of Trauma Surgery, University Medical Center Utrecht, Utrecht, The Netherlands.

Department of Trauma Surgery, University Medical Center Utrecht, Utrecht, The Netherlands

出版信息

BMJ Case Rep. 2020 Mar 29;13(3):e233196. doi: 10.1136/bcr-2019-233196.

DOI:10.1136/bcr-2019-233196
PMID:32229550
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7167444/
Abstract

On the day of scheduled debridement for a persistent pin tract infection, a 23-year old man presented himself carrying a small bony ring sequestrum that had spontaneously ejected from his tibial wound 1 week earlier. Eight years prior to presentation, he was treated for an open crural fracture which was stabilised with an external fixator. Revision of the operation notes revealed that the placement of this external fixator was performed without predrilling.

摘要

在预定对持续的针道感染进行清创的那天,一名23岁男子前来就诊,他带着一个小的骨环形死骨片,该骨片于1周前从他的胫骨伤口自行排出。在就诊前8年,他接受了开放性小腿骨折治疗,并用外固定器固定。复查手术记录发现,该外固定器的放置未进行预钻孔。

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本文引用的文献

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General treatment principles for fracture-related infection: recommendations from an international expert group.骨折相关感染的一般治疗原则:国际专家组的建议。
Arch Orthop Trauma Surg. 2020 Aug;140(8):1013-1027. doi: 10.1007/s00402-019-03287-4. Epub 2019 Oct 29.
2
Evidence-Based Recommendations for Local Antimicrobial Strategies and Dead Space Management in Fracture-Related Infection.骨折相关感染局部抗菌策略和无效腔管理的循证推荐
J Orthop Trauma. 2020 Jan;34(1):18-29. doi: 10.1097/BOT.0000000000001615.
3
Getting it right first time: The importance of a structured tissue sampling protocol for diagnosing fracture-related infections.首次正确诊断:骨折相关感染的结构化组织采样方案的重要性。
Injury. 2019 Oct;50(10):1649-1655. doi: 10.1016/j.injury.2019.05.014. Epub 2019 Jun 7.
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Bacterial osteomyelitis: microbiological, clinical, therapeutic, and evolutive characteristics of 344 episodes.细菌性骨髓炎:344例病例的微生物学、临床、治疗及演变特征
Rev Esp Quimioter. 2018 Jun;31(3):217-225. Epub 2018 May 11.
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Prevention of pin site infection in external fixation: a review of the literature.外固定中针道感染的预防:文献综述
Strategies Trauma Limb Reconstr. 2016 Aug;11(2):75-85. doi: 10.1007/s11751-016-0256-4. Epub 2016 May 12.
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Ring sequestrum of the tibia.胫骨环形死骨
BMJ Case Rep. 2014 Apr 30;2014:bcr2013201837. doi: 10.1136/bcr-2013-201837.
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Prevention and management of external fixator pin track sepsis.外固定针道感染的预防与管理
Strategies Trauma Limb Reconstr. 2012 Aug;7(2):67-72. doi: 10.1007/s11751-012-0139-2. Epub 2012 Jun 23.
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External skeletal fixation in the treatment of fractures of the tibia.
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External Pin Transfixion of Fractures: An Analysis of 80 Cases.骨折的外固定针固定术:80例病例分析
Ann Surg. 1944 Dec;120(6):911-42. doi: 10.1097/00000658-194412060-00010.
10
A review of the management of open fractures of the tibia and femur.胫骨和股骨开放性骨折的治疗综述。
J Bone Joint Surg Br. 2006 Mar;88(3):281-9. doi: 10.1302/0301-620X.88B3.16465.