大块病骨切除+截骨延长治疗胫骨骨髓炎骨不连10例.docVIP

大块病骨切除+截骨延长治疗胫骨骨髓炎骨不连10例 【摘要】目的：探索 治疗 胫骨骨髓炎、骨不连的新方法。方法: 将病灶病骨大块切除，用外固定支架缩短加压固定病骨切除骨的两断端，同时在干骺端用自行研制的针锯潜行截骨，用同一支架进行缓慢延长，恢复肢体长度。结果: 共用此方法治疗10例病人，全部是属于严重开放性粉碎性骨折，而且都是骨外露，由于骨髓炎、骨不连，经用各种常规手术及治疗未获成功，使用大块病骨切除，外固定架加压压缩固定，同时在干骺端用自行研制的针锯潜行截骨，恢复切除病骨的长度。10例分别切除病骨死骨3.0~14公分，干骺端分别延长3.0~14公分，全部获得成功，骨髓炎治愈。结论: 大块病骨病灶切除缩短加压固定是治疗骨髓炎及骨不连的一种方法，干骺端截骨延长可以完全恢复切除的长度，恢复患肢功能。 【关键词】大块病骨切除；截骨延长；胫骨骨髓炎；骨不连 【Abstract】Objective:The exploration treatment shinbone osteomyelitis, the bone do not link new method.Method: Will get sick the stove body emaciated by sickness bulk excision, will reduce with the outside fixed support pressurizes the fixed body emaciated by sickness to excise the bone two to break the end, simultaneously will be doing the epiphysis end with the needle saw which independently will develop to dive the good truncation bone, will carry on with the identical support slowly lengthens, restores the body length.Result:Altogether uses this method to treat 10 examples patients, completely belongs to the serious open smashing bone fracture, moreover all is outside the bone reveals, as a result of the osteomyelitis, the bone not company, the durable each kind of conventional surgery and the treatment has not attained successfully, the use bulk body emaciated by sickness excision, outside the bracket fixing pressurizes the compression to be fixed, simultaneously is doing the epiphysis end with the needle saw which independently develops to dive the good truncation bone, restores excises the body emaciated by sickness the length. 10 examples separately excise the body emaciated by sickness dead bone 3.0~14 centimeter, does the epiphysis end separately to lengthen the 3.0~14 centimeter, completely obtains successfully, the osteomyelitis cures. Conclusion: The bulk body emaciated by sickness sickness stove excision reduces pressurizes fixedly treats one method which the osteomyelitis and the bone does not link, does the epiphysis end truncation bone to lengthen may completely restore the e