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[创伤及创伤后感染情况下的骨移植]

[Transplantation of bones in traumatic and posttraumatic septic conditions].

作者信息

Lob G, Burri C

出版信息

Orthopade. 1986 Feb;15(1):42-9.

PMID:3515286
Abstract

The treatment of acute and chronic osteitis should be standardized, using the following steps: débridement/sequestrectomy; stabilization; eradication of local infection; revascularization; filling-up defects--bone transplantation. The transplantation of bone is only successful if the defect area is prepared following steps 1-4 mentioned above. If possible, only autologous bone should be transplanted into an infected bone area. For the take of the transplanted bone, good vascularization of the infected area is of great importance. To obtain the best function possible, the Kinesitherapy should be carefully supervised by the surgeon.

摘要

急慢性骨炎的治疗应规范化,采用以下步骤:清创/死骨切除术;稳定化;根除局部感染;血管再生;填充缺损——骨移植。只有按照上述第1 - 4步对缺损区域进行准备后,骨移植才会成功。如有可能,应仅将自体骨移植到感染骨区域。对于移植骨的存活,感染区域良好的血管化至关重要。为尽可能获得最佳功能,运动疗法应由外科医生仔细监督。

相似文献

1
[Transplantation of bones in traumatic and posttraumatic septic conditions].[创伤及创伤后感染情况下的骨移植]
Orthopade. 1986 Feb;15(1):42-9.
2
[Transplantation of bones in aseptic traumatic and post-traumatic conditions].[无菌性创伤及创伤后情况下的骨移植]
Orthopade. 1986 Feb;15(1):36-41.
3
[Chronic post-traumatic osteitis].
Helv Chir Acta. 1990 Apr;56(6):845-56.
4
[Stabilization of infected fractures and pseudarthroses (author's transl)].感染性骨折与假关节的固定(作者译)
MMW Munch Med Wochenschr. 1976 Sep 24;118(39):1227-30.
5
[Stable soft tissue reconstruction using an autochthonous muscle flap transposition and simultaneous bone reconstruction in post-traumatic and osteitis defects of the lower extremity].
Handchir Mikrochir Plast Chir. 1987 Jan;19(1):17-20.
6
[Bone transplantation in post-traumatic osteitis].
Aktuelle Probl Chir Orthop. 1990;34:107-26.
7
[Muscle flap transfer of the treatment of infected tibial and malleolar fractures and chronic osteomyelitis of the tibia].[肌肉瓣转移治疗感染性胫腓骨骨折及胫骨慢性骨髓炎]
Acta Chir Orthop Traumatol Cech. 2007 Jun;74(3):162-70.
8
Infected tibial nonunion.感染性胫骨骨不连。
Can J Surg. 1994 Jun;37(3):209-13.
9
[Plastic surgery measures in connection with bone transplantation in bone and soft tissue defects].
Orthopade. 1986 Feb;15(1):50-8.
10
[Fracture healing after plate osteosynthesis in acute post-traumatic osteitis].[急性创伤后骨炎钢板内固定术后的骨折愈合]
Fortschr Med. 1980 Aug 7;98(29):1117-20.