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使用Masquelet技术联合腓骨移植及髂嵴移植治疗股骨远端骨折骨不连：2例报告

Management of Bone Failure in Fracture of the Distal Region of the Femur Using the Masquelet Technique with Fibula Graft Associated with Iliac-Crest Graft: Report of Two Cases.

作者信息

Pimenta Frederico Silva, Prudêncio Tardelli Lapaz da Silva, Ferreira Gustavo Pacheco Martins, de Barros Alessandro Cordoval, Caldas Marco Túlio Lopes, Rodrigues Heitor Maia

机构信息

Serviço de Ortopedia e Traumatologia, Hospital Maria Amélia Lins, Belo Horizonte, Minas Gerais, Brasil.

出版信息

Rev Bras Ortop (Sao Paulo). 2020 Jun 10;57(6):1074-1078. doi: 10.1055/s-0040-1710336. eCollection 2022 Dec.

DOI:10.1055/s-0040-1710336
PMID:36540751
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9757967/
Abstract

Two cases of bone failure after fracture of the distal region of the femur treated with the Masquelet technique are presented. The first case involves acute bone loss, and the second, pseudarthrosis. The proper management of these lesions led to consolidation and a good functional result.

摘要

本文介绍了两例采用Masquelet技术治疗股骨远端骨折后出现骨不连的病例。第一例涉及急性骨丢失，第二例为假关节。对这些病变的妥善处理促成了骨愈合并取得了良好的功能结果。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b3fa/9757967/305cf9bb7a07/10-1055-s-0040-1710336-i1900160pt-5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b3fa/9757967/afecd05345f3/10-1055-s-0040-1710336-i1900160en-1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b3fa/9757967/7e1a289ed133/10-1055-s-0040-1710336-i1900160en-2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b3fa/9757967/1672996ea538/10-1055-s-0040-1710336-i1900160en-3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b3fa/9757967/80c806dbf42f/10-1055-s-0040-1710336-i1900160en-4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b3fa/9757967/a5c2b9d4a0a0/10-1055-s-0040-1710336-i1900160en-5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b3fa/9757967/3669aa102b24/10-1055-s-0040-1710336-i1900160pt-1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b3fa/9757967/ca0561827c8b/10-1055-s-0040-1710336-i1900160pt-2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b3fa/9757967/99782f8ed60c/10-1055-s-0040-1710336-i1900160pt-3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b3fa/9757967/55815cf29d3d/10-1055-s-0040-1710336-i1900160pt-4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b3fa/9757967/305cf9bb7a07/10-1055-s-0040-1710336-i1900160pt-5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b3fa/9757967/afecd05345f3/10-1055-s-0040-1710336-i1900160en-1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b3fa/9757967/7e1a289ed133/10-1055-s-0040-1710336-i1900160en-2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b3fa/9757967/1672996ea538/10-1055-s-0040-1710336-i1900160en-3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b3fa/9757967/80c806dbf42f/10-1055-s-0040-1710336-i1900160en-4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b3fa/9757967/a5c2b9d4a0a0/10-1055-s-0040-1710336-i1900160en-5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b3fa/9757967/3669aa102b24/10-1055-s-0040-1710336-i1900160pt-1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b3fa/9757967/ca0561827c8b/10-1055-s-0040-1710336-i1900160pt-2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b3fa/9757967/99782f8ed60c/10-1055-s-0040-1710336-i1900160pt-3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b3fa/9757967/55815cf29d3d/10-1055-s-0040-1710336-i1900160pt-4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b3fa/9757967/305cf9bb7a07/10-1055-s-0040-1710336-i1900160pt-5.jpg

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本文引用的文献

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Clin Orthop Relat Res. 2016 May;474(5):1319-27. doi: 10.1007/s11999-016-4769-4. Epub 2016 Mar 1.
2
Treatment of bone defects: Bone transport or the induced membrane technique?骨缺损的治疗：骨搬运还是诱导膜技术？
Injury. 2016 Feb;47(2):291-2. doi: 10.1016/j.injury.2016.01.023.
3
Induced membrane formation in a case of infected gap nonunion of radius: Case report.桡骨感染性骨不连病例中的诱导膜形成：病例报告
J Clin Orthop Trauma. 2013 Sep;4(3):147-50. doi: 10.1016/j.jcot.2013.09.006. Epub 2013 Oct 8.
4
Open supracondylar femur fractures with bone loss in the polytraumatized patient - Timing is everything!多发伤患者合并股骨髁上开放性骨折伴骨缺损——时机至关重要！
Injury. 2013 Dec;44(12):1826-31. doi: 10.1016/j.injury.2013.03.018. Epub 2013 Apr 16.
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Staged bone grafting following placement of an antibiotic spacer block for the management of segmental long bone defects.在放置抗生素间隔块后进行分期骨移植以治疗节段性长骨缺损。
Orthopedics. 2011 Nov 9;34(11):e730-5. doi: 10.3928/01477447-20110922-16.
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Induced membranes--a staged technique of bone-grafting for segmental bone loss: surgical technique.诱导膜——一种用于节段性骨缺损骨移植的分期技术：手术技术
J Bone Joint Surg Am. 2011 Mar;93 Suppl 1:85-91. doi: 10.2106/JBJS.J.01251.
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Orthop Clin North Am. 2010 Jan;41(1):27-37; table of contents. doi: 10.1016/j.ocl.2009.07.011.
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The compressive properties of bone cements containing large doses of antibiotics.含大剂量抗生素的骨水泥的压缩性能。
J Arthroplasty. 2009 Apr;24(3):454-60. doi: 10.1016/j.arth.2007.10.023. Epub 2008 Apr 3.
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Vascularized fibula graft for the traumatically induced long-bone defect.带血管腓骨移植治疗创伤性长骨缺损
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