感染性骨缺损外置钢板固定与分期骨水泥植骨的治疗
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武汉大学中南医院

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Infected bone defects were treated by external locking plate combined with staging bone cement
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1.武汉大学中南医院;2.Zhongnan Hospital of Wuhan University

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    摘要:

    [摘要]:[目的] 评价应用外置钢板联合分期骨水泥植骨治疗感染性骨缺损的临床效果。[方法] 从2015年1月至2019年1月,我科共收治感染性骨缺损患者26例,其中12例患者应用外置钢板结合分期骨水泥治疗(外置钢板组),14患者例应用外固定架结合分期骨水泥植骨治疗(外固定架组)。分析两组患者骨折愈合率、感染率、并发症发生率等。[结果] 两组26例患者均获得随访,平均18.5个月;两组患者手术次数无显著差异(p>0.05);外置钢板组去除外固定时间常于外固定架组(p<0.05);两组患者骨性愈合时间无显著差异(p>0.05);完全负重时间无显著差异(p>0.05);外置钢板组出现钉道感染、松动例数显著少于外固定架组。 [结论] 锁定钢板外固定联合分期骨水泥植骨治疗感染性骨缺损可取得与外固定架治疗相当的效果,且钉道感染、松动的发生率更低。

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    Abstract: [Objective] This study is aim to evaluate therapy effect of infected bone defect treated by external locking plate with staging bone cement. [Methods] From Jan 2015 to Jan 2019, 26 patients of bone defect were admitted to our department. 12 patients were treated by external fixation plate with staging bone cement, 14 patients were treated by external fixator with staging bone cement. Healing rate of bone defect, infection rate, complicate rate was analyzed. [Results] All patients were followed up for 12 to 25 months, the average is 18.5 months. There is no infection recurrence on external fixation plate group, while 2 cases of infection recurred in external fixator group after patients were treated by bone cement. After bone graft, bone healing time in these two groups is 3.6 months, 3.8months, respectively. 2 patients have delayed bone union in plate group, while 3 patients in external fixator group. 3 cases in external fixation plate group have 4 sites pin track infection, while 4 cases with 7 sites pin track infection in external fixator group. There is no pin loose in plate group, while 5 cases with 10 pins loose in external fixation group. [Conclusion] Comparing to external fixation, there is a similar therapy effect that application external fixator plate combined with three-stage Masquelet technique to treat infectious bone defect, while reducing times of operation, declining incidence rate of pin track infection and loose.

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  • 收稿日期:2021-03-02
  • 最后修改日期:2021-06-10
  • 录用日期:2021-06-22
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