Leunig M, Hertel R
Department of Orthopaedic Surgery, University of Berne, Inselspital, Switzerland.
J Bone Joint Surg Br. 1996 Jul;78(4):584-7.
We present three young men who sustained closed diaphyseal fracture of the tibia and later developed severe osteocutaneous necrosis induced by heat during intramedullary reaming. They all had a narrow medullary cavity and in all a tourniquet had been used. Each developed a pretibial cutaneous blister soon after operation. In the following month severe osteomyelitis ensued, requiring segmental resection and osteocutaneous reconstruction.
我们报告了三名青年男性，他们均发生了胫骨骨干闭合性骨折，随后在髓内扩髓过程中因热导致了严重的骨皮肤坏死。他们的髓腔均较窄，且均使用了止血带。术后不久，每个人都出现了胫前皮肤水疱。在接下来的一个月里，继而发生了严重的骨髓炎，需要进行节段性切除和骨皮肤重建。
