生物骨科材料与临床研究2017，Vol.14Issue(2)：49-51,后插2,4.DOI:10.3969/j.issn.1672-5972.2017.02.012
一期彻底清创负载抗生素硫酸钙治疗跟骨骨髓炎
Treatment of calcaneus osteomyelitis by one-stage debridement and compound grafting of antibiotic-impregnated calcium sulfate
摘要
Abstract
Objective To study the treatment of the calcaneus osteomyelitis by one-stage debridement and compound grafting of antibiotic-impregnated calcium sulfate.Methods Twenty-one patients with calcaneus osteomyelitis were managed from Jan 2012 to Dec 2014.There were 15 males and 6 females aged 33 to 35 years (mean,43.71±6.73 years).According to Ciemy-Mader classification,there were 15 cases with stage Ⅲ and 6 cases with stage Ⅳ.The course were 1～36 months (mean,12.67±9.62 months).All patients were treated by one-stage debridement and filled with compound of antibiotic-impregnated calcium sulfate follow.Results All patients were followed up for 12～36 months.The wounds healed in 12 to 21 days (mean,15.19±2.34 days).The calcium degradation begain 2 weeks after operation.The bone conduction and the new bone formation were all started 8 weeks after operation,and all patients were partial weight-bearing walk,back to normal weight three months later.The drainage tube had been persisting for 3 to 8 weeks (mean,5.14± 1.74 weeks).Conclusion A satisfactory clinical results can be gained by one-stage debridement and compound grafting of antibiotic-impregnated calcium sulfate in calcaneus osteomyelitis.The relapse rate of infection is low.关键词
骨移植/跟骨/骨髓炎/清创Key words
Bone transplantion/Calcaneus/Osteomyelitis/Debridement分类
医药卫生引用本文复制引用
周江军,杨俊,赵敏,余专一,程球新,陈晶祥,肖春林,史柏娜,付美清..一期彻底清创负载抗生素硫酸钙治疗跟骨骨髓炎[J].生物骨科材料与临床研究,2017,14(2):49-51,后插2,4.基金项目
全军医学科技青年培育项目计划(13QNP049) （13QNP049）
江西省科技支撑计划(20132BBG70092) （20132BBG70092）
全军后勤科研重点项目(BNJ13J003) （BNJ13J003）
