感染性长骨假关节的治疗

Treatment of Infected Pseudoarthrosis of Long Bone

本文报告34例感染性长骨假关节的治疗。治疗方法是在控制感染的条件下，分期清除病灶，局部筋膜蒂皮瓣、肌皮瓣或动脉皮瓣转移，自体髂骨植骨，术后结合坚强的外固定。其中32例平均随访1．7年，植骨在4～6个月全部融合，骨髓炎无一例复发，关节功能恢复良好。作者认为此方法简便、有效、可靠，是临床首选方法。

Infected pseudoarthrosis of long bone in 34 patients had been treated in our hospital from 1985 to 1995. The therapeutic methods used were the control of infection, the staged debridement, the transposition of fasciocutaneous flap, musculocutaneous flap or arterial skin flap, the bone grafting with autogenous ilium, and the rigid external fixation. 32 cases were followed - up for 1. 7 years in average. It was found that all of the grafted bones were healed in 4 to 6 months, noosteomyelitis was recurred in any case, and the function of joints was satisfactory. It was considered that this method is an effective, reliable and simple one for treating infected pseudoarthrosis and thus it is a method of first choice in clinic.