对于低能耗远距离骨骨折的硬件暴露而造成的片重建的长期结果
Eleni Karagergou1, Dimitrios Kitridis2, Ektoras Kessidis1
11st Orthopaedic Department, School of Medicine, Aristotle University of Thessaloniki, G. Papanikolaou Hospital, G. Papanikolaou Avenue, Thessaloniki, Greece.
JPRAS open
|July 29, 2025
概括
远距离骨骨折手术后的硬件暴露可以通过移除植入物,伊利扎罗夫固定和板重建来管理,实现75%的骨结合. 患者对腿部外观和功能的满意度很低.
科学领域:
- 整形外科手术 整形外科手术
- 创伤外科手术是什么
- 重建性手术是一种重建性手术.
背景情况:
- 伤口脱光和硬件暴露在开放缩小和内部固定 (ORIF) 后对于远距离骨和脚骨折是常见的.
- 这些并发症可能导致显著的发病率,包括感染和非结合.
研究的目的:
- 评估经过ORIF的伤口破损和暴露硬件管理的长期结果.
- 评估植入物切除,伊利扎罗夫框架应用和片重建在实现骨结合和患者满意度方面的有效性.
主要方法:
- 一个前的案例系列八名患者的伤口崩和暴露硬件后ORIF关闭的远端骨/脚骨折.
- 治疗包括移除植入物,Ilizarov非联合框架和局部螺旋翻盖重建.
- 2年后评估的结果包括骨结合,伤口并发症,骨髓炎和患者满意度 (LIMB-QTM).
主要成果:
- 硬件移除的平均时间为8.3周.
- 伊利扎罗夫框架用于五名患者的非工会.
- 75%的骨工会率在2年.
- 一例慢性骨髓炎,一个骨折.
- 报告的患者对腿部外观和功能的满意度较低.
结论:
- 当地片重建和抗生素对于感染控制和硬件暴露后的骨结合至关重要.
- 对于晚期感染,需要进行植入物切除和外部固定;早期感染可能受益于硬件保留和感染抑制.
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