骨搬移治療外傷性脛骨骨髓炎伴大段骨缺損的療效觀察
發(fā)布時(shí)間：2018-07-15 15:45
【摘要】：目的:觀察外傷性脛骨骨髓炎后大段骨缺損行骨搬移治療的療效。方法:回顧2010年2月至2013年6月利用骨搬移技術(shù)治療20例外傷性脛骨骨髓炎后大段骨缺損。男15例,女5例,年齡16-62歲,平均33歲。20例患者斷端切新后骨缺損長(zhǎng)度為6-10厘米,平均8厘米。術(shù)后定期復(fù)查調(diào)整力線,鼓勵(lì)患者完全負(fù)重。結(jié)果:20例患者獲得16月-40月(平均22.0月)隨訪。16例患者對(duì)合端直接愈合,其余4例患者對(duì)合端未能直接愈合。經(jīng)重新切開植骨內(nèi)固定最終愈合。骨延長(zhǎng)長(zhǎng)度為6-10厘米(平均8厘米)。外固定架指數(shù)為1.5-2月/cm。根據(jù)Paley骨愈合評(píng)分:優(yōu)14例,良5例,差1例,優(yōu)良率95%。結(jié)論:骨搬移治療外傷性脛骨骨髓炎伴大段骨缺損安全有效。臨床發(fā)現(xiàn)骨搬移的病例對(duì)合端有一期不能順利直接愈合,現(xiàn)在目前機(jī)制和確切原因仍不清楚,但是經(jīng)過(guò)局部后期處理并囑患者堅(jiān)持負(fù)重可最終愈合。
[Abstract]:Objective: to observe the effect of bone transfer in the treatment of large bone defect after traumatic tibial osteomyelitis. Methods: from February 2010 to June 2013, 20 cases of large bone defect after traumatic tibial osteomyelitis were treated with bone transfer technique. 15 males and 5 females, aged 16-62 years, ranged from 33 to 20 years old. The length of bone defect after amputation was 6-10 cm (mean 8 cm). Adjust the force line regularly after operation, encourage the patient to bear weight completely. Results Twenty patients were followed up for 16-40 months (mean 22.0 months). 16 cases were followed up. The involutive end healed directly in 16 cases and the other 4 cases failed to heal directly. The internal fixation was finally healed by reincision and bone grafting. The lengthening length of bone was 6-10 cm (mean 8 cm). The index of external fixator was 1.5-2 months / cm. According to Paley's bone healing score: excellent 14 cases, good 5 cases, poor 1 case, excellent and good rate 95%. Conclusion: bone transfer is safe and effective in the treatment of traumatic tibial osteomyelitis with large bone defect. It is found that the first stage of the involutive end of bone transfer can not be healed directly, but the mechanism and the exact cause are still unclear, but after local post-treatment and telling the patient to adhere to the load can finally heal.
【學(xué)位授予單位】：山西醫(yī)科大學(xué)
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2015
【分類號(hào)】：R687.3
本文編號(hào)：2124578
[Abstract]:Objective: to observe the effect of bone transfer in the treatment of large bone defect after traumatic tibial osteomyelitis. Methods: from February 2010 to June 2013, 20 cases of large bone defect after traumatic tibial osteomyelitis were treated with bone transfer technique. 15 males and 5 females, aged 16-62 years, ranged from 33 to 20 years old. The length of bone defect after amputation was 6-10 cm (mean 8 cm). Adjust the force line regularly after operation, encourage the patient to bear weight completely. Results Twenty patients were followed up for 16-40 months (mean 22.0 months). 16 cases were followed up. The involutive end healed directly in 16 cases and the other 4 cases failed to heal directly. The internal fixation was finally healed by reincision and bone grafting. The lengthening length of bone was 6-10 cm (mean 8 cm). The index of external fixator was 1.5-2 months / cm. According to Paley's bone healing score: excellent 14 cases, good 5 cases, poor 1 case, excellent and good rate 95%. Conclusion: bone transfer is safe and effective in the treatment of traumatic tibial osteomyelitis with large bone defect. It is found that the first stage of the involutive end of bone transfer can not be healed directly, but the mechanism and the exact cause are still unclear, but after local post-treatment and telling the patient to adhere to the load can finally heal.
【學(xué)位授予單位】：山西醫(yī)科大學(xué)
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2015
【分類號(hào)】：R687.3
【參考文獻(xiàn)】
相關(guān)期刊論文 前1條
1 沈?yàn)槊?于葳;張秀麗;楊利;李雪梅;武立新;高莉;張海霞;周靜嫻;李艷磊;樊玲玲;于琦;顧小燕;;骨搬移術(shù)后外固定器針孔護(hù)理的新方法[J];中華護(hù)理雜志;2006年09期
，本文編號(hào)：2124578
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