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异体富血小板血浆、纤维蛋白胶和胶原基质联合应用保肢治疗胫骨开放性骨折:1例报告

Limb Saving with a Combination of Allogenic Platelets-Rich Plasma, Fibrin Glue, and Collagen Matrix in an Open Fracture of the Tibia: A Case Report.

作者信息

Rahimi Hamid Reza, Emadi Elaheh, Hamidi Alamdari Daryoush

机构信息

Department of Medical Genetics and Molecular Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.

Vascular and Endovascular Surgery Research Center, Mashhad University of Medical Sciences, Mashhad, Iran.

出版信息

Arch Bone Jt Surg. 2023;11(8):535-538. doi: 10.22038/ABJS.2023.69184.3261.

Abstract

Tibia open fractures and lower limb soft tissue injuries are undesired conditions for orthopedic and general surgeons, and there is no ideal procedure for treating recalcitrant ulcers or severe traumatic ulcers. Recently, several novel approaches have been proposed, such as bone marrow stem cells, platelets, fibrin glue, and collagen matrix. The current study was conducted to evaluate the effectiveness of combining platelets, fibrin glue, and a collagen matrix for treating a serious limb-threatening wound in a 33-year-old male with a right lower limb injury. After treatment, the wound was fully closed, tissue granulation was grown, skin grafting was done, and the right leg was saved. In conclusion, the combination of the mentioned components can be utilized to synergistically enhance wound healing and preserve the limb.

摘要

胫骨开放性骨折和下肢软组织损伤是骨科医生和普通外科医生不愿面对的情况,而且对于治疗顽固性溃疡或严重创伤性溃疡没有理想的方法。最近,已经提出了几种新方法,如骨髓干细胞、血小板、纤维蛋白胶和胶原基质。本研究旨在评估血小板、纤维蛋白胶和胶原基质联合使用对一名33岁右下肢受伤男性严重威胁肢体伤口的治疗效果。治疗后,伤口完全愈合,长出组织肉芽,进行了皮肤移植,保住了右腿。总之,上述成分的组合可用于协同促进伤口愈合并保住肢体。

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