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单孔内镜下髓内清创术治疗胫骨骨髓炎

Uniportal Endoscopic Intramedullary Debridement for the Management of Tibial Osteomyelitis.

作者信息

Lui Tun Hing, Cheung Ka Kin, Chong Hon Chun

机构信息

Department of Orthopaedics and Traumatology, North District Hospital, Sheung Shui, NT, Hong Kong SAR, China.

出版信息

Arthrosc Tech. 2025 Apr 16;14(7):103555. doi: 10.1016/j.eats.2025.103555. eCollection 2025 Jul.

DOI:10.1016/j.eats.2025.103555
PMID:40822155
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12350195/
Abstract

Chronic osteomyelitis is characterized by the presence of asequestrum, intramedullary abscess, and fistulous tracts. Bone endoscopy provides a minimally invasive approach to drain the intramedullary abscess and remove the dead and infected tissues under direct endoscopic visualization. The purpose of this Technical Note is to describe the details of uniportal endoscopic intramedullary debridement for management of chronic osteomyelitis of the metaphyseal region of tibia. This approach can reduce the number of bone portals needed. However, proper selection of suitable cases is needed to prevent iatrogenic fracture.

摘要

慢性骨髓炎的特征是存在死骨、髓内脓肿和瘘管。骨内镜提供了一种微创方法，可在直视下引流髓内脓肿并清除坏死和感染组织。本技术说明的目的是描述单孔内镜下髓内清创术治疗胫骨干骺端慢性骨髓炎的详细过程。这种方法可以减少所需的骨孔数量。然而，需要正确选择合适的病例以防止医源性骨折。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1955/12350195/005009781335/gr6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1955/12350195/4530b7624364/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1955/12350195/3a819aaebecf/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1955/12350195/bc76016f8f9f/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1955/12350195/8900d3a9fea8/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1955/12350195/7cbe1aeabf8a/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1955/12350195/005009781335/gr6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1955/12350195/4530b7624364/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1955/12350195/3a819aaebecf/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1955/12350195/bc76016f8f9f/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1955/12350195/8900d3a9fea8/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1955/12350195/7cbe1aeabf8a/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1955/12350195/005009781335/gr6.jpg

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本文引用的文献

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Arthrosc Tech. 2022 Nov 18;11(12):e2319-e2325. doi: 10.1016/j.eats.2022.08.026. eCollection 2022 Dec.
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关节镜下刮除、微骨折及骨移植替代治疗距骨体骨囊肿
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Medicina (Kaunas). 2021 Feb 12;57(2):163. doi: 10.3390/medicina57020163.
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Endoscopic Curettage of Bone Cyst of the Fibular Head.腓骨头骨囊肿的内镜下刮除术
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Arthroscopic Curettage and Bone Grafting of Bone Cysts of the Talar Body.距骨体骨囊肿的关节镜下刮除及植骨术
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