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采用微创钢板治疗股骨缺损性骨髓炎。

Treatment of femoral defective osteomyelitis with minimal invasive plates.

作者信息

Akdemir Mehmet, Biçen Çağdaş, Türken Mehmet Aykut, Turan Ahmet Cemil, Arıkan Alper

机构信息

Konya Akademi Hospital Department of Orthopedics and Traumatology, Turkey.

Medical Park İzmir Hospital Department of Orthopedics and Traumatology, Turkey.

出版信息

Trauma Case Rep. 2020 May 22;28:100317. doi: 10.1016/j.tcr.2020.100317. eCollection 2020 Aug.

DOI:10.1016/j.tcr.2020.100317
PMID:32490130
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7256327/
Abstract

Although recent treatment modalities reduced chronic osteomyelitis, it is still a challenging problem for both orthopaedic surgeons and patients. Especially treatment of femoral osteomyelitis with defective nonunion is reasonably difficult. Most accepted treatment option is external fixation. But the duration needed for external fixation may be too long for patient compliance. To reduce external fixation duration several methods were described. In this study we described a method for reconstruction of infected femoral defective nonunions using minimal invasive plates.

摘要

尽管最近的治疗方式降低了慢性骨髓炎的发生率,但它对骨科医生和患者来说仍然是一个具有挑战性的问题。尤其是治疗伴有骨不连的股骨髓炎相当困难。最常用的治疗选择是外固定。但外固定所需的时间可能过长,患者难以依从。为了缩短外固定时间,人们描述了几种方法。在本研究中,我们描述了一种使用微创钢板重建感染性股骨干骨不连的方法。

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1
Treatment of femoral defective osteomyelitis with minimal invasive plates.采用微创钢板治疗股骨缺损性骨髓炎。
Trauma Case Rep. 2020 May 22;28:100317. doi: 10.1016/j.tcr.2020.100317. eCollection 2020 Aug.
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本文引用的文献

1
Staged internal plate fixation of severe lower extremity fractures that use a temporary external fixator for the initial treatment as an intraoperative retention tool: a technical note.使用临时外固定器作为术中固定工具对严重下肢骨折进行分期内固定:技术说明
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2
Initial peri- and postoperative antibiotic treatment of infected nonunions: results from 212 consecutive patients after mean follow-up of 34 months.感染性骨不连的围手术期及术后初始抗生素治疗:212例连续患者平均随访34个月的结果
Ther Clin Risk Manag. 2018 Jan 4;14:59-67. doi: 10.2147/TCRM.S152008. eCollection 2018.
3
Effectiveness of Minimally Invasive Plate Osteosynthesis (MIPO) on Comminuted Tibial or Femoral Fractures.
微创钢板接骨术(MIPO)治疗胫骨或股骨粉碎性骨折的疗效
Arch Bone Jt Surg. 2017 Sep;5(5):290-295.
4
Distraction osteogenesis using combined locking plate and Ilizarov fixator in the treatment of bone defect: A report of 2 cases.使用组合锁定钢板和伊里扎洛夫固定器进行牵张成骨治疗骨缺损:2例报告。
Indian J Orthop. 2017 Mar-Apr;51(2):222-228. doi: 10.4103/0019-5413.201710.
5
Staged protocol for the treatment of chronic femoral shaft osteomyelitis with Ilizarov's technique followed by the use of intramedullary locked nail.分期方案治疗慢性股骨干骨髓炎的伊里扎洛夫技术,随后使用髓内锁定钉。
J Chin Med Assoc. 2017 Jun;80(6):376-382. doi: 10.1016/j.jcma.2017.01.001. Epub 2017 Feb 24.
6
Obtaining Correct Ankle Alignment Using Intraoperative External Fixation for Ankle Arthrodesis.
J Foot Ankle Surg. 2017 Mar-Apr;56(2):242-246. doi: 10.1053/j.jfas.2016.11.016.
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Treatment of post-traumatic chronic osteomyelitis of lower limbs by bone transport technique using mono-lateral external fixator: Follow-up study of 18 cases.单侧外固定器骨搬运技术治疗下肢创伤后慢性骨髓炎:18例随访研究
J Orthop Sci. 2016 Jul;21(4):493-499. doi: 10.1016/j.jos.2016.04.010. Epub 2016 May 15.
8
The treatment of femoral bone loss by axial external fixation and susbequent locking plate application: a case report.轴向外固定及后续应用锁定钢板治疗股骨骨缺损:一例病例报告
Injury. 2015 Dec;46 Suppl 7:S31-4. doi: 10.1016/S0020-1383(15)30042-5.
9
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Bone Joint J. 2015 Jun;97-B(6):814-7. doi: 10.1302/0301-620X.97B6.33276.
10
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Acta Orthop Belg. 2014 Mar;80(1):50-5.