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顽固性尺骨感染性骨不连

Recalcitrant Septic Nonunion of the Ulna.

作者信息

Bech Niels, Kloen Peter

机构信息

Orthopedic Surgery, Amsterdam University Medical Center, Amsterdam, NLD.

出版信息

Cureus. 2020 Mar 6;12(3):e7195. doi: 10.7759/cureus.7195.

DOI:10.7759/cureus.7195
PMID:32269875
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7137672/
Abstract

An infected diaphyseal forearm nonunion can be a challenge. After several failed salvage procedures, the patient can be left with residual pain, shortening, bone loss, and poor soft tissue envelope. Keystones for infected nonunion treatment are debridement, cultures, antibiotics, stability, and restore alignment. This report describes the current literature on the treatment of forearm nonunion, and we present a case of a recalcitrant infected ulna nonunion that ultimately healed after 12 surgeries.

摘要

感染性肱骨干前臂骨不连可能是一项挑战。经过多次挽救手术失败后，患者可能会遗留残余疼痛、短缩、骨质丢失以及软组织覆盖不佳等问题。治疗感染性骨不连的关键在于清创、培养、使用抗生素、保持稳定性以及恢复对线。本报告描述了当前关于前臂骨不连治疗的文献，并呈现了一例顽固性感染性尺骨骨不连病例，该病例最终在经历12次手术后实现愈合。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9ddb/7137672/c5e0c46a713a/cureus-0012-00000007195-i09.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9ddb/7137672/2d991009d26a/cureus-0012-00000007195-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9ddb/7137672/df783df2e19e/cureus-0012-00000007195-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9ddb/7137672/1c97812aa4e4/cureus-0012-00000007195-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9ddb/7137672/603a71ca336d/cureus-0012-00000007195-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9ddb/7137672/7efebdd70af3/cureus-0012-00000007195-i05.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9ddb/7137672/a9a1f177cd8b/cureus-0012-00000007195-i06.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9ddb/7137672/3cbb3e8c81a6/cureus-0012-00000007195-i07.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9ddb/7137672/b724e762d2d4/cureus-0012-00000007195-i08.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9ddb/7137672/c5e0c46a713a/cureus-0012-00000007195-i09.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9ddb/7137672/2d991009d26a/cureus-0012-00000007195-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9ddb/7137672/df783df2e19e/cureus-0012-00000007195-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9ddb/7137672/1c97812aa4e4/cureus-0012-00000007195-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9ddb/7137672/603a71ca336d/cureus-0012-00000007195-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9ddb/7137672/7efebdd70af3/cureus-0012-00000007195-i05.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9ddb/7137672/a9a1f177cd8b/cureus-0012-00000007195-i06.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9ddb/7137672/3cbb3e8c81a6/cureus-0012-00000007195-i07.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9ddb/7137672/b724e762d2d4/cureus-0012-00000007195-i08.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9ddb/7137672/c5e0c46a713a/cureus-0012-00000007195-i09.jpg

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本文引用的文献

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2
Masquelet Reconstruction for Posttraumatic Segmental Bone Defects in the Forearm.用于前臂创伤后节段性骨缺损的Masquelet重建术
J Hand Surg Am. 2019 Apr;44(4):342.e1-342.e8. doi: 10.1016/j.jhsa.2018.07.003. Epub 2018 Aug 23.
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Management of recalcitrant osteomyelitis and segmental bone loss of the forearm with the Masquelet technique.应用Masquelet技术治疗前臂顽固性骨髓炎和节段性骨缺损
J Hand Surg Eur Vol. 2017 Jul;42(6):640-642. doi: 10.1177/1753193416650171. Epub 2016 May 26.
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Vascularized posterior interosseous pedicled bone grafting for infected forearm nonunion.带血管蒂的骨间后血管化骨移植治疗感染性前臂骨不连
J Hand Surg Eur Vol. 2016 May;41(4):441-7. doi: 10.1177/1753193415601041. Epub 2015 Aug 25.
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Masquelet technique for treatment of segmental bone loss in the upper extremity.上肢节段性骨缺损的Masquelet技术治疗
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Bone transport for the treatment of infected forearm nonunion.骨搬运治疗感染性前臂骨不连
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BMC Musculoskelet Disord. 2013 Sep 22;14:273. doi: 10.1186/1471-2474-14-273.
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Metaphyseal locking compression plate as an external fixator for the distal tibia.干骺端锁定加压接骨板作为胫骨远端外固定器。
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