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表皮葡萄球菌致骨折延迟愈合合并慢性骨髓炎的内固定治疗：1例报告

Internal fixation of delayed union of fracture with chronic osteomyelitis due to Staphylococcus epidermidis: A case report.

作者信息

Munir Muhammad Ardi, Tandiabang Pascal Adventra

机构信息

Department of Social Health Science, Bioethics and Medical Law, Faculty of Medicine, Tadulako University, Palu, 94148, Indonesia.

Department of Orthopedic and Traumatology Surgery, Undata General Hospital, Palu, 94118, Indonesia.

出版信息

Ann Med Surg (Lond). 2020 Jun 11;56:56-60. doi: 10.1016/j.amsu.2020.06.009. eCollection 2020 Aug.

DOI:10.1016/j.amsu.2020.06.009
PMID:32577232
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7305371/
Abstract

INTRODUCTION

The most feared and challenging complication in treating patients with musculoskeletal trauma is infection after fracture fixation, which can delay healing and, in turn, result in permanent functional loss of limbs or even amputation.

CASE PRESENTATION

Here, we describe a case in which a patient presented with stage 4 chronic osteomyelitis on the right tibia and fibula. To treat the late infection by eradicating or reducing the infection, it was recommended to replace the internal fixation with surgical debridement for 6 weeks and antibiotics for 6-12 weeks until the internal fixation device could be removed.

CONCLUSION

Delayed union and chronic osteomyelitis are possible complications of IAFF.

摘要

引言

治疗肌肉骨骼创伤患者时，最令人担忧且具有挑战性的并发症是骨折固定术后感染，这可能会延迟愈合，进而导致肢体永久性功能丧失甚至截肢。

病例报告

在此，我们描述一例右胫腓骨出现4期慢性骨髓炎的患者。为通过根除或减少感染来治疗晚期感染，建议进行手术清创并更换内固定6周，使用抗生素6至12周，直至可以取出内固定装置。

结论

延迟愈合和慢性骨髓炎是IAFF可能出现的并发症。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5042/7305371/11293204a563/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5042/7305371/f3acf564ff3c/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5042/7305371/d92dc0d3ea86/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5042/7305371/d67e74e5894a/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5042/7305371/11293204a563/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5042/7305371/f3acf564ff3c/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5042/7305371/d92dc0d3ea86/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5042/7305371/d67e74e5894a/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5042/7305371/11293204a563/gr4.jpg

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