感染性骨不愈合的治疗

The Treatment of Infected Nonunion

目的 探讨感染性骨不愈合的治疗原则和方法。方法 对16 例感染性骨不愈合患者在应用有效抗生素、彻底清除病灶的基础上,依骨缺损的长度一期支撑植骨,修复创面后用骨外固定器加压固定。结果 全部病例均于术后3～13 个月,平均6-4 个月达到骨愈合,感染得到彻底控制,伤口愈合,并保证了肢体长度的均衡。结论 采用上述综合治疗措施,简化和缩短了治疗过程,一期植骨避免了为矫正肢体短缩而再行肢体延长术。

Objective To investigate the principles and methods of the treatment of infected nonunion Methods Sixteen patients with infected nonunion were included in the study After effective antibiotic administration and complete debridement, the bone was grafted by first intention based on the length of the bone defect As soon as the wound was healed up, immobilization was done by external fixation device Results All the patients had bone union within 3 to 13 months(mean 6 4 months) The infection was competely controlled, the wound went on healing,and the length of the limb was maintained Conclusion The compound method simplified and shortened the treatment The bone grafting by the first intention avoided limb shortening The use of external fixation in infected nonunion showed its distinct advantanges