远距离小腿和脚感染的管理和治疗策略:我们的临床经验
Antonio Mascio1,2, Chiara Comisi1,2, Carmen Barlotti1,2
1Department of Orthopedics and Rheumatological Sciences, Fondazione Policlinico Universitario Agostino Gemelli IRCCS, 00136 Rome, Italy.
Journal of clinical medicine
|November 27, 2025
概括
管理远部骨和脚感染是具有挑战性的. 一种分阶段的手术方法在骨关节感染中实现了94.1%的四肢挽救率,强调了定制的多学科护理.
科学领域:
- 整形外科手术 整形外科手术
- 传染病管理 传染病管理
- 创伤护理 创伤护理
背景情况:
- 远距离骨和脚感染由于复杂的解剖学和高并发症率,造成了重大的手术挑战.
- 有效的管理需要专门的感染控制和功能恢复策略.
研究的目的:
- 介绍临床经验,管理远端骨和脚骨关节感染.
- 为了评估外科手术策略,感染控制和至少24个月的随访期间的功能结果.
主要方法:
- 17名患有远部骨/脚感染的患者的回顾性病例系列 (2020年1月 - 2023年5月).
- 采用了分阶段的手术方法:除bridement,外部固定,带抗生素的水泥间隔器.
- 使用EQ-5D-5L分数评估功能结果.
主要成果:
- 男性患者的高患病率 (76.5%),体重指数升高和并发症.
- 开放性骨折是最常见的原因 (64.7%);金黄色葡萄球菌是最常见的病原体 (41.2%).
- 尽管有58.8%的整体并发症和52.9%的重复干预,但已实现94.1%的肢体挽救 (16/17患者).
结论:
- 量身定制的,多学科的方法对于管理复杂的远距离骨和脚感染至关重要.
- 细致的手术规划和积极的并发症管理是优化患者结果的关键.
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