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[手术伤口脱光和暴露的硬件. 感染预言吗?]
L Moril-Peñalver1, A Sevilla-Monllor1, E Saura-Sánchez1
1Departamento de Cirugía Ortopédica y Traumatología, Hospital General Universitario de Elche. España.
Acta ortopedica mexicana
|September 5, 2023
概括
手术伤口脱光与暴露的椎板可以在没有感染的情况下愈合. 这个病例显示骨巩固,尽管前臂板被暴露了六年.
科学领域:
- 整形外科手术 整形外科手术
- 创伤管理 创伤管理
背景情况:
- 手术伤口脱光与暴露的内部固定是显著的骨科并发症.
- 它是深骨感染的主要危险因素.
研究的目的:
- 为了呈现一个非常罕见的Monteggia骨折脱位的案例,用内部固定处理.
- 为了记录前臂板的长期结果,在没有感染迹象的情况下暴露了六年.
主要方法:
- 一名39岁的男性患有Gustilo II Monteggia骨折脱位,经过了开放式缩小和内部固定,用骨重建板进行了.
- 这位患者在六年内没有进行随访,在此期间,20厘米的板块完全暴露.
- 板子被移除,观察到骨床的自发上皮质化,导致皮肤在两个月内完全覆盖.
主要成果:
- 该患者在手术后六年出现了完全暴露的20厘米椎板.
- 尽管长时间暴露,但没有感染的迹象.
- 底层骨折已经愈合,尽管有恶性结合,并且在去除板块后发生了自发的表皮质化.
结论:
- 没有感染的骨巩固是可以实现的,即使长期暴露在成人开口骨折的内部固定装置.
- 这一案例凸显了骨科创伤管理中意外愈合和组织适应的潜力.
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