A single-stage operation in the treatment of complex traumatic osteomyelitis with flap and vancomycinimpreganted artificial bone
10.3760/cma.j.issn.1001-2036.2010.04.009
- VernacularTitle:合并软组织缺损的复杂创伤性骨髓炎的一期治疗
- Author:
Lifeng SHEN
;
Chun ZHANG
;
Qiaofeng GUO
;
Zhan ZHANG
;
Xiaowen ZHANG
- Publication Type:Journal Article
- Keywords:
Traumatic osteomyelitis;
Surgical flap;
Transplantation;
Artificial bone;
Microsurgery
- From:
Chinese Journal of Microsurgery
2010;33(4):284-286,后插三
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the feasibility of a single-stage operation in the treatment of traumatic osteomyelitis with flap and vancomycin-impreganted artificial bone. Methods Forty-one cases using one single-stage operation in the treatment of traumatic osteomyelitis with flap and vancomycin-impreganted artificial bone were cured, osteomyelitis recurred in 2 cases, and was cured after debridement and vancomycin-impreganted artificial bone plantation again. 1 case occurred nonunion and was cured by autogenous nonvascular iliac bone transplantation. Results All cases were followed from 4 months to 2 years, the average fracture cured time was 5.3 months(3-9 months), and the average wound cured time was 3.7 weeks. The soft tissue defect was cured in one stage, the osteomyelitis of all cases was cured at last. Conclusion It is feasible that one single-stage operation treated the traumatic osteomyelitis with flap and vancomycin-impreganted artificial bone.