Wang Fei, Liu Yang, Qiu Xiaofeng, Fei Hao, Liu Wei, Yuan Kun
The First People's Hospital of Nantong, The Second Affiliated Hospital of Nantong University, Teaching Hospital Affiliated to Kangda College of Nanjing Medical University, Nantong 226001, Jiangsu, China.
Evid Based Complement Alternat Med. 2021 Aug 30;2021:5979514. doi: 10.1155/2021/5979514. eCollection 2021.
Bone infection is one of the common complications of orthopedic surgery. After bone trauma occurs in the human body, the infection of and Gram-negative bacteria into the fracture area can lead to double infection of the soft tissue and bone tissue at the fracture site, leading to a variety of complications, mostly in the lower extremities. Bone infection easily causes bone destruction, bone nonunion, and bone defect, seriously affecting the quality of life of patients. The traditional treatment method of bone infection is to control the infection first and then repair the bone graft, but this method has a long course, poor efficacy, and high disability rate. In this study, anti-infective reconstituted bone xenograft (ARBX) combined with external fixation was used to treat patients with posttraumatic bone infections of the long bones of the lower extremities, to explore its efficacy, and to analyze its effects on serum CRP, PCT levels, and prognosis. Our results showed that ARBX combined with the external fixator had a good effect on the treatment of patients with bone infection after lower extremity long bone trauma, which could effectively enhance the repair and functional recovery of the limb bone, significantly alleviate the infection degree of patients, reduce the inflammatory response of the body, and have a good prognosis.
骨感染是骨科手术常见的并发症之一。人体发生骨创伤后,革兰氏阳性菌和革兰氏阴性菌感染进入骨折区域可导致骨折部位软组织和骨组织双重感染,引发多种并发症,多发生于下肢。骨感染易导致骨质破坏、骨不连和骨缺损,严重影响患者生活质量。传统的骨感染治疗方法是先控制感染,再进行植骨修复,但该方法疗程长、疗效差、致残率高。本研究采用抗感染重组合异种骨(ARBX)联合外固定治疗下肢长骨创伤后骨感染患者,探讨其疗效,并分析其对血清CRP、PCT水平及预后的影响。结果显示,ARBX联合外固定器治疗下肢长骨创伤后骨感染患者效果良好,可有效促进肢体骨的修复和功能恢复,显著减轻患者感染程度,降低机体炎症反应,预后良好。