股骨干骨折内固定术后不典型感染的诊断和治疗

Diagnosis and treatment of atypical infection of femoral shaft fracture after internal fixation

目的探讨股骨干骨折内固定术后不典型感染的诊断和治疗。方法对6例不典型感染患者进行内固定物取出、病灶清除、应用敏感抗生素等综合治疗。结果6例获3～14年（平均7年）随访，感染无复发，骨折均愈合。结论股骨干骨折内固定术后不典型感染不易发现和诊断，需综合治疗。

Objective To explore the diagnosis and treatment of atypical infection of femoral shaft fracture after internal fixation. Methods Six cases with femoral shaft fracture and atypical inpection after internal fixation in this study were treated by taking out the fixtion, cleaning up infection focus and using antibiotics. Results All cases were followed up from 3 to 14 years with the mean of 7 years. All cases were cured. No infection recurred. The treatment time were from 9 months to 3 years （the mean time was 15 months）. Conclusions It is difficult to diagnose and treat atypical infection of femoral shaft fracture after internal fixation and the patients need combined therapy.