Plus antibiotics into bone particles packing tibial muscle flap osteomyelitis.doc

 PAGE \* MERGEFORMAT 8 Plus antibiotics into bone particles packing tibial muscle flap osteomyelitis [Abstract] Objective To observe the therapeutic effect of tibial osteomyelitis. Methods 20 cases of tibial osteomyelitis line debridement, antibiotic-sensitive artificial particles with added muscle into bone packing, and select the appropriate external fixation. The results were followed up for 1 to 5 years, the recent and long-term result is good, only 2 cases of tibial osteomyelitis discharge a long time, dressing cured. Conclusion complete removal of inflammatory lesions, eliminate dead space, maintain local effective concentration of antibiotic drugs, the appropriate external fixation is the treatment of tibial bone marrow effective way inflammation. [Keywords:] Tibia bone flap artificial particle packing Tibia is one of the common orthopedic, long course and difficult to cure, surgical failure rate, infection recurrence rate, is the orthopedic surgeons for many years to explore solutions to a problem. Surgical treatment are many advantages and disadvantages of each method and their respective indications. from 2003 to 2007, our hospital uses artificial particles containing sensitive to antibiotics into bone plus muscle flap filling the treatment of tibial osteomyelitis, 20 cases have achieved good results, are as follows. 1 Clinical data 1.1 General Information The group of 20 patients, 13 males and 7 females, aged from 9 to 82 years, mean 42 years. Cause of his injuries: 12 cases of car accident injuries, falls injury in 4 cases, 3 cases of crushing weight, other ( no injuries), 1. The original cause: osteomyelitis caused by infection and internal fixation of open fractures, 12 cases closed fracture fixation in 7 cases of osteomyelitis caused by infection, into a blood-borne osteomyelitis in 1 case of chronic osteomyelitis. shortest course 6 months, the longest 11 years. admission, 11 patients had fixation, internal fixation materials have