Georgiadis G M, DeSilva S P
Department of Orthopaedic Surgery, Wayne State University, Detroit, Michigan, USA.
J Trauma. 1995 Jun;38(6):910-4. doi: 10.1097/00005373-199506000-00015.
Single forearm bone posttraumatic defects averaging 4 cm were successfully reconstructed by first using an antibiotic impregnated cement spacer followed by delayed cancellous bone grafting in three patients. A fourth patient, with a larger defect of 12 cm, had a satisfactory clinical result with this technique, but did not achieve a solid bony union. This method may be considered in contaminated segmental forearm defects amenable to traditional cancellous bone grafting. Thorough debridement, stable fixation, and good soft tissue coverage over the spacer are needed. For larger defects (> 6 cm), other treatment options may be more appropriate.
3例平均4厘米的单前臂骨创伤后缺损患者，首先使用抗生素浸渍骨水泥间隔物，随后进行延迟松质骨移植，成功实现了缺损重建。第4例患者有12厘米的较大缺损，采用该技术取得了满意的临床效果，但未实现牢固的骨愈合。对于适合传统松质骨移植的污染性前臂节段性缺损，可考虑此方法。需要进行彻底清创、稳定固定，并在间隔物上提供良好的软组织覆盖。对于较大缺损（>6厘米），其他治疗选择可能更合适。
