医学
软组织
截肢
外科
骨髓炎
清创术(牙科)
骨移植
阶段(地层学)
股骨
胫骨
非工会
肱骨
古生物学
生物
作者
MA McNally,J.O. Small,HG Tofighi,Rab Mollan
出处
期刊:The journal of bone and joint surgery
[British Editorial Society of Bone and Joint Surgery]
日期:1993-05-01
卷期号:75-B (3): 375-380
被引量:84
标识
DOI:10.1302/0301-620x.75b3.8496203
摘要
We treated 37 patients with chronic osteomyelitis of the tibia (25), femur (9), radius (2) and humerus (1) by a two-stage technique, comprising radical debridement of all infected bone and soft tissue with the provision of soft-tissue cover, and delayed autogenous bone grafting when necessary. All patients were reviewed at an average of 49 months (12 to 121). Infection-free bone union was achieved in 34. No patient required amputation. Wide excision of all compromised tissue and the closure of bone within a healthy vascularised soft-tissue envelope are essential if infection is to be eradicated. The combined assessment and management of such patients by an orthopaedic surgeon and a plastic surgeon are advocated.
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