诱导膜与胫骨搬运治疗距骨骨髓炎
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新疆生产建设兵团第一师医院

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R687.4

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2021DB021(新疆生产建设兵团科技计划项目)


Treatment of talar osteomyelitis with induced membrane and tibial transport
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The First Division Hospital of Xinjiang Production and Constuction Corps

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    摘要:

    摘要:[目的] 介绍诱导膜与胫骨搬移治疗距骨骨髓炎的手术技术和初步临床结果。[方法]1例交通伤致距骨开放性粉碎性骨折青年患者,一期踝关节融合术后感染引起距骨骨髓炎,先后经两阶段抗生素骨水泥诱导膜技术填充骨缺损,在控制感染后取出骨水泥行胫骨滑移并取自体髂骨植骨融合。[结果] 本例青年患者获得8月随访,无继发溃疡,采用Paley方法对骨缺损愈合和临近关节功能进行评价,评估骨折愈合分级为优。SanmanthaX线评分5分。术后8月VAS评分1分,AOFAS功能评分71分。[结论] 诱导膜与胫骨搬运治疗距骨骨髓炎是一种可行安全有效的方法,能有效控制感染,改善患者术后行走功能,效果良好。

    Abstract:

    Abstract: [Objective] to introduce the surgical technique and preliminary clinical results of induced membrane and tibial transfer in the treatment of talar osteomyelitis Methods] in a young patient with open comminuted fracture of talus caused by traffic injury, talus osteomyelitis was caused by infection after one-stage ankle fusion. The bone defect was filled by two-stage antibiotic bone cement induction membrane technology. After controlling the infection, the bone cement was taken out for tibial sliding and bone graft fusion from body iliac bone Results] the young patient was followed up for 8 months without secondary ulcer. The bone defect healing and adjacent joint function were evaluated by Paley method. The grade of fracture healing was excellent. Sanmantha X-line score 5 points. VAS score was 1 and AOFAS function score was 71 in August after operation Conclusion] the treatment of talar osteomyelitis with induced membrane and tibial transport is a feasible, safe and effective method, which can effectively control infection and improve postoperative walking function.

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  • 收稿日期:2021-05-13
  • 最后修改日期:2021-09-21
  • 录用日期:2021-10-26
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