中国骨伤2012，Vol.25Issue(6)：516-519,4.DOI:10.3969/j.issn.1003-0034.2012.06.020
负压封闭引流联合筋膜皮瓣转移分期手术治疗创伤后骨髓炎
VSD combined with fascio-cutaneous flap transferation staging operation to treat post-traumatic osteomyelitis
李绍光 1刘智 1孙天胜 1刘树清 1李京生1
作者信息
- 1. 北京军区总医院全军创伤骨科研究所,北京 100700
- 折叠
摘要
Abstract
Objective: To explore the therapeutic effects of VSD combined with fascio-cutaneous flap transferation staging operation for the treatment of post-traumatic osteomyelitis. Methods;From December 2007 to December 2009,14 patients were treated with the technology of VSD combined with fascio-cutaneous flap transferation staging operatinon. Nine patients were males and 5 patients were females,and mean age was 36 years. All the patients were postoperative wound infection. Osteomyelitis of the tibia was in 9 cases, calcaneus in 3 cases,femur in 1 case,radius and ulna in 1 case; infection of time were from 2 to 96 weeks,an average time of 32 weeks. Results: All the patients were followed up,and the duration ranged from 12 to 36 months,with an average of 19.2 months. All the patients were treated with debridement and VSD for 1 to 3 times,with an average of 1.57 times. The wounds of 13 cases healed well after flaps transferation, but of 1 case leakaged and healed after 3 weeks with the therapy of drainaging and changing dressings. Due to delayed healing or defects of bone, 8 patients had autolo-gous bone grafted on the second stage. All wounds and fractures healed without recurrence of postoperative infection. Conclusion: VSD combined with flap transferation is an effective treatment of post-traumatic osteomyelitis, which can shorten the treatment time and have better security and reliability than traditional methods.关键词
引流术/外科皮瓣/骨髓炎Key words
Drainage/Surgical flaps/Osteomyelitis引用本文复制引用
李绍光,刘智,孙天胜,刘树清,李京生..负压封闭引流联合筋膜皮瓣转移分期手术治疗创伤后骨髓炎[J].中国骨伤,2012,25(6):516-519,4.
