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每周一次使用特立帕肽联合低强度脉冲超声成功治疗尺骨短缩截骨术后感染性骨不连。

Successful treatment of infectious delayed union after ulnar shortening osteotomy using once-weekly teriparatide with low-intensity pulsed ultrasound.

作者信息

Takamatsu Kiyohito, Uemura Takuya, Onode Ema, Koshimune Masaru

机构信息

Department of Orthopaedic Surgery, Yodogawa Christian Hospital, Osaka, Japan.

Department of Orthopaedic Surgery, Osaka General Hospital of West Japan Railway Company, Osaka, Japan.

出版信息

Case Reports Plast Surg Hand Surg. 2021 Mar 5;8(1):42-45. doi: 10.1080/23320885.2021.1894155.

DOI:10.1080/23320885.2021.1894155
PMID:33748330
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7939565/
Abstract

We report a 50-year-old woman who presented with infected delayed union after ulnar shortening osteotomy. She was a chronic smoker. Implants were removed and infected tissue was debrided. Sufficient bony union was obtained after 5 months of treatment with weekly teriparatide and low-intensity pulsed ultrasound during the infection-controlled waiting period.

摘要

我们报告了一名50岁女性，她在尺骨短缩截骨术后出现感染性骨延迟愈合。她是一名长期吸烟者。取出植入物并清除感染组织。在感染得到控制的等待期内，每周使用特立帕肽并结合低强度脉冲超声治疗5个月后，获得了充分的骨愈合。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/aa31/7939565/6a31d7284685/ICRP_A_1894155_F0002_C.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/aa31/7939565/114af9cbe199/ICRP_A_1894155_F0001_C.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/aa31/7939565/6a31d7284685/ICRP_A_1894155_F0002_C.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/aa31/7939565/114af9cbe199/ICRP_A_1894155_F0001_C.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/aa31/7939565/6a31d7284685/ICRP_A_1894155_F0002_C.jpg

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本文引用的文献

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J Orthop Trauma. 2021 Apr 1;35(4):211-216. doi: 10.1097/BOT.0000000000001953.
2
The use of low-intensity pulsed ultrasound in hand and wrist nonunions.低强度脉冲超声波在手和腕部骨不连中的应用。
J Plast Surg Hand Surg. 2020 Apr;54(2):101-106. doi: 10.1080/2000656X.2019.1693393. Epub 2019 Nov 26.
3
Nonunion and Reoperation After Ulna Shortening Osteotomy.尺骨缩短截骨术后不愈合和再次手术。
Hand (N Y). 2020 Sep;15(5):638-646. doi: 10.1177/1558944719828004. Epub 2019 Mar 8.
4
Debridement, internal fixation and staged autogenous bone graft for the management of infected femoral non-union.清创、内固定及分期自体骨移植治疗感染性股骨骨不连
Injury. 2018 Dec;49 Suppl 4:S48-S57. doi: 10.1016/j.injury.2018.11.018. Epub 2018 Dec 3.
5
Healing of fracture nonunions treated with low-intensity pulsed ultrasound (LIPUS): A systematic review and meta-analysis.低强度脉冲超声（LIPUS）治疗骨折不愈合的疗效：一项系统评价和荟萃分析。
Injury. 2017 Jul;48(7):1339-1347. doi: 10.1016/j.injury.2017.05.016. Epub 2017 May 15.
6
Ulnar Shortening Osteotomy: Are Complications Under Reported?尺骨短缩截骨术：并发症是否报告不足？
J Hand Microsurg. 2015 Dec;7(2):276-82. doi: 10.1007/s12593-015-0201-7. Epub 2015 Sep 23.
7
Nonsurgical Corrective Union of Osteoporotic Vertebral Fracture with Once-Weekly Teriparatide.每周一次使用特立帕肽非手术矫正骨质疏松性椎体骨折
Case Rep Orthop. 2015;2015:784360. doi: 10.1155/2015/784360. Epub 2015 Jul 30.
8
Successful Bone Healing of Nonunion After Ulnar Shortening Osteotomy for Smokers Treated With Teriparatide.特立帕肽治疗吸烟患者尺骨短缩截骨术后骨不连的成功骨愈合
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