Induced membrane technique combined with internal fixation for the treatment of chronic haematogenous osteomyelitis of long bones of extremities in children

ZHANG Hu; XU Yong-qing; CHEN Xing-yu; YANG Xiao-yong; ZHANG Xi-jiao; YUE Zheng-hua; HE Xiao-qing; LI Jun; CAI Dong-hui; SHI Jian

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Induced membrane technique combined with internal fixation for the treatment of chronic haematogenous osteomyelitis of long bones of extremities in children

更新时间：2022-11-04

- Induced membrane technique combined with internal fixation for the treatment of chronic haematogenous osteomyelitis of long bones of extremities in children
- null Issue 5, Pages: 403(2022)
- 作者机构：
  
  1. 解放军联勤保障部队第920医院全军创伤骨科研究所,云南,昆明,650032
  2. 云南省彝医医院/云南省楚雄彝族自治州中医院骨科,云南,楚雄,675000
- 作者简介：
- 基金信息：
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ZHANG Hu, XU Yong-qing, CHEN Xing-yu, et al. Induced membrane technique combined with internal fixation for the treatment of chronic haematogenous osteomyelitis of long bones of extremities in children. [J]. null (5):403(2022)
DOI：

ZHANG Hu, XU Yong-qing, CHEN Xing-yu, et al. Induced membrane technique combined with internal fixation for the treatment of chronic haematogenous osteomyelitis of long bones of extremities in children. [J]. null (5):403(2022) DOI：

摘要

目的探讨膜诱导技术联合内固定治疗儿童四肢长骨慢性血源性骨髓炎的临床疗效。方法回顾性分析采用膜诱导技术联合内固定治疗的17例四肢长骨慢性血源性骨髓炎患儿的临床资料。所有患儿均接受两期手术，Ⅰ期手术为清创、抗生素骨水泥填塞骨缺损区域，Ⅱ期手术为去除骨水泥，并在诱导膜内植入自体松质骨和同种异体骨颗粒。术后观察患儿伤口及骨缺损愈合情况，末次随访时观察感染控制及并发症发生情况，并根据Paley评分评价临床疗效。结果所有患儿均随访26~47个月，平均31.6个月。术后所有患儿手术切口均一期愈合。16例患儿骨缺损在术后3~6个月骨愈合，患肢完全负重时间4~8个月，1例患儿术后3个月钢板断裂，更换钢板后骨愈合。末次随访时，无感染复发，1例出现骨缺损区域成骨不全，1例出现患侧踝关节内翻畸形。Paley评分优15例，良2例。结论应用膜诱导技术联合内固定治疗儿童四肢长骨慢性血源性骨髓炎可取得较好的临床疗效，能够有效控制感染，实现骨愈合，促进患儿康复。

Abstract

关键词

慢性血源性骨髓炎骨缺损内固定儿童膜诱导技术

Keywords

chronic haematogenous osteomyelitisbone defectinternal fixationchildreninduced membrane technique

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