采用帕皮诺技术治疗慢性骨髓炎。
Treatment of chronic osteomyelitis using the Papineau technique.
作者信息
Panda M, Ntungila N, Kalunda M, Hinsenkamp M
机构信息
Service d'Orthopédie Traumatologie, Cliniques Universitaires de Kinshasa, République Démocratique du Congo.
出版信息
Int Orthop. 1998;22(1):37-40. doi: 10.1007/s002640050204.
From 1984 to 1994, 41 cases of chronic osteomyelitis were treated in Kinshasa by the Papineau technique; 75.5% were men and 24.5% women. The mean age was 28 years (range: 7-77), and the average duration of the infection was 3 years (range: 1 month to 28 years). The aetiology was "trauma" in 53.5%, haematogenous in 44% and drepanocytosis in 2.5%. Infections of the femur and tibia each constituted 41.5% of the cases. Immobilisation was by external fixation in 44%, and by a cast in 39%. Wound healing was complete after an average of 3 months with spontaneous healing, and in 4.5 months after skin grafting. Control of the infection and bone healing were obtained in 89% after a period of 3-7 months. We discuss the Papineau technique and the modifications which were required in Kinshasa.
1984年至1994年期间，金沙萨采用帕皮诺技术治疗了41例慢性骨髓炎患者；其中男性占75.5%，女性占24.5%。平均年龄为28岁（范围：7 - 77岁），感染的平均病程为3年（范围：1个月至28年）。病因方面，“创伤”占53.5%，血源性占44%，镰状细胞贫血占2.5%。股骨和胫骨感染各占病例的41.5%。44%的患者采用外固定制动，39%的患者采用石膏固定。平均3个月自行愈合后伤口完全愈合，植皮后4.5个月伤口完全愈合。3 - 7个月后，89%的患者感染得到控制且骨愈合。我们讨论了帕皮诺技术以及在金沙萨所需的改进。
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