Malkawi H, Shannak A, Sunna' P
Clin Orthop Relat Res. 1984 Apr(184):241-8.
Twenty-nine patients with chronically infected segmental defects of the tibia (15 cases), femur (7 cases), humerus (5 cases), and radius (2 cases) were treated during a six-year period (1975-1980). The defects were due to hematogenous osteomyelitis in six cases and trauma (vehicular accidents, crushing injuries, and gunshot wounds) in 23 cases. In 12 cases exposed bone was present owing to soft tissue and skin losses. Treatment consisting of stabilization of the fragments, thorough debridement, continuous irrigation, and cancellous bone grafting allowed early mobilization and achieved bony union with control of infection in all cases. Good to fair functional results were obtained in 22 of the 29 involved extremities.
在1975年至1980年的六年期间，对29例患有胫骨（15例）、股骨（7例）、肱骨（5例）和桡骨（2例）慢性感染性节段性缺损的患者进行了治疗。缺损原因包括6例血源性骨髓炎和23例创伤（交通事故、挤压伤和枪伤）。12例因软组织和皮肤缺损而出现外露骨。治疗方法包括固定骨折碎片、彻底清创、持续冲洗和松质骨移植，所有病例均实现了早期活动并在控制感染的情况下实现了骨愈合。29个受累肢体中的22个获得了良好至中等的功能结果。
