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一期清创植骨融合治疗胫骨平台骨髓炎

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目的:探讨胫骨平台骨髓炎行清创一期植骨融合的临床疗效。方法采用彻底清创用外支架固定后一期植骨融合,治疗胫骨平台骨髓炎11例。结果11例均随访6-24个月膝关节融合良好,能下地负重行走,较高的满意度,随访期间骨髓炎无复发。结论一期行清创植骨融合治疗胫骨平台创伤性骨髓炎可缩短病程,减低治疗费用,患者能早期行走,但膝关节正常功能丧失,对于部分经济困难患者以及无条件行人工关节置换者是一种理想的治疗方法。
one-stage fusion to cure the tibial plateau osteomyelitis by debridement and bone grafting
Objective to investigate the the clinical efficacy of one-stage bone fusion to cure the tibial plateau osteomyelitis by debridement and bone grafting. Methods to cure the 11 tibial plateau osteomyelitis by debridement and bone grafting, to makejoint fusion with external fixation in fixed frame.Results 11 cases were fol owed up for 6 to 24 months, acquired good knee joint fusion, Al cases could walk with load, A higher degree of satisfaction , There was no recurrence of osteomyelitis during the fol ow-up periods. Conclusion one-stage bone fusion to cure the tibial plateau osteomyelitis after debridement and bone grafting Shorten the duration of symptoms, reduce the cost of treatment .patients can walk early, but lost,the knee joint normal function .for some patients with economic difficulties and unconditional line of artificial joint replacement is an ideal treatment method.

osteomyelitistibial plateau fracturejoint fusionbone grafting

章杰斌、余润泽、陈涛、宣涛

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安徽省第二人民医院 230011

骨髓炎 胫骨平台骨折 关节融合 植骨

2014

中外健康文摘
中国中医药报社

中外健康文摘

影响因子:0.016
ISSN:1672-5085
年,卷(期):2014.(13)
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