摘要
目的报道一期开放植骨治疗感染性骨折和骨不愈合的手术疗效。方法对２０例感染性骨折及骨折不愈合的患者采取彻底清除坏死及感染的组织、用双平面外固定架或石膏管型固定骨折端，一期植入带皮质的松质骨并开放伤口，足量应用敏感抗生素。结果平均随访３５年，２０例中１９例骨折愈合，无感染复发。结论与传统方法相比缩短了疗程。
Objective To report the outcome of infected fracture and nonunion treated with one stage open bone grafting. Method Twenty patients with either infected fractures or nonunions were managed by a one stage protocol consisting of thorough debridement of septic focus followed by stabilization with an external fixator or a cast, fresh autogenous cortico cancellous bone grafting, open wound, and use of antibiotics sensitive to the bacteria. Result Nineteen fractures healed and were free of infection after follow up on average 3.5 years. Conclusion This method is easy,practical and time saving.
出处
《中华外科杂志》
CAS
CSCD
北大核心
1998年第A00期32-34,共3页
Chinese Journal of Surgery
