Adamczyk Andrew, Meulenkamp Bradley, Wilken Geoffrey, Papp Steven
The Ottawa Hospital, Division of Orthopaedics, University of Ottawa, Ottawa, Ontario, Canada.
OTA Int. 2020 Mar 23;3(1):e059. doi: 10.1097/OI9.0000000000000059. eCollection 2020 Mar.
Segmental bone loss continues to pose substantial clinical and technical challenges to orthopaedic surgeons. While several surgical options exist for the treatment of these complex patients, there is not a clear consensus or specific guidelines on the optimal management of these injuries as a whole. Many factors must be taken into consideration when planning surgery for these individuals. In order for these techniques to yield optimal results, each injury must be approached in a step-wise and multidisciplinary fashion to ensure that care is taken in bone and wound bed preparation, that soft tissues are healthy and free of contaminants, and that the patient's medical condition has been optimized. Through this article, we will answer relevant questions and discuss common obstacles and challenges encountered with these complex injuries. We will also review the many treatment options available or in development to address this problem.
节段性骨缺损仍然给骨科医生带来重大的临床和技术挑战。虽然有几种手术选择可用于治疗这些复杂的患者，但对于如何整体优化处理这些损伤，目前尚无明确的共识或具体指南。为这些患者规划手术时必须考虑许多因素。为了使这些技术取得最佳效果，必须以逐步和多学科的方式处理每一处损伤，以确保在骨和创面准备过程中谨慎操作，确保软组织健康且无污染，并确保患者的身体状况已得到优化。通过本文，我们将回答相关问题，并讨论这些复杂损伤所遇到的常见障碍和挑战。我们还将回顾现有的或正在研发的许多治疗方案，以解决这一问题。
