Excision of necrotic and infected tissues combined with induced membrane and external fixator technique for the treatment of chronic osteomyelitis in tibia after fracture operation.
- Author:
Shao-di FAN
1
;
Zhi-Heng LIU
2
,
3
;
Wan-Hua HU
1
;
Guo-Zhong WU
1
;
Li-Hu TANG
1
;
Liang-Liang ZHAO
1
Author Information
- Publication Type:Journal Article
- Keywords: External fixators; Fractures; Osteomyelitis; Tibia
- From: China Journal of Orthopaedics and Traumatology 2017;30(4):372-376
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVETo investigate the clinical efficacy of excision of necrotic and infected tissues combined with induced membrane and external fixator technique to treat chronic osteomyelitis in tibia after fracture operation.
METHODSFrom June 2011 to June 2014, a total of 13 patients with tibia osteomyelitis were treated with excision of necrotic and infected tissues and external fixator technique in the first stage. There were 8 males and 5 females, ranging in age from 16 to 67 years old with an average of (37.3±14.3) years old. Within 6 to 8 weeks the induced membrane was formed and the induced membrane technique was applied to promote new bone forming in the second stage.
RESULTSThirteen patients had no reinfection and achieved complete bone healing after 24 to 52 months follow-up. All the patients had satisfactory function.
CONCLUSIONSExcision of necrotic and infected tissues combined with induced membrane and external fixator technique to treat chronic osteomyelitis in tibia after fracture operation can provide satisfactory results.
