Forgon M
Magy Traumatol Orthop Helyreallito Seb. 1979;22(3-4):256-65.
Based on clinical experiences author takes part for principles in the treatment of infected nonunions of long tubular bones. Main characteristics of his treatment are: Baside an approach saving the blood supply of bone, stable osteosynthesis, sequestrotomy and removal of necrotic tissues (focus elimination) filling in with autologous spongy bone chips the residual bone cavities, in acute stadium the application of PMMA balls as preparatory measure for a following cancellous bone, transplantation. Author comments at the same time on drainage, rinsing and sucking. Selective use of antibiotics may complete the therapy. Data of treatment in 42 cases of infected nonunions are given.
基于临床经验,作者参与了长管状骨感染性骨不连的治疗原则。其治疗的主要特点是:在保留骨血供的基础上进行手术,采用稳定的骨固定术,行死骨切除术并清除坏死组织(病灶清除),用自体松质骨碎片填充残留骨腔,在急性期应用聚甲基丙烯酸甲酯球作为后续松质骨移植的预备措施。作者同时对引流、冲洗和吸引进行了评论。选择性使用抗生素可完善治疗。文中给出了42例感染性骨不连的治疗数据。