慢性骨髓炎.pptVIP

慢性骨髓炎的外科治疗 流行病学 发病特点----创伤后慢性骨髓炎成为病人的主体，急性血源性骨髓炎转变为慢性者越来越少----但是没有大规模的流行病学资料 细菌种类的变化 治疗方法和治疗效果的变化 临床分类 Cierny-Mader Classification system MAY CLASSIFICATION GENERAL PRINCIPLES OF TREATING POSTTRAUMATIC OSTEOMYELITIS First there must be adequate debridement of all infected and necrotic soft and osseous tissues. Second antibiotics are used at the time of fracture to prevent infection, and when infection is established, to control infection. The third principle is stabilization of the fracture The fourth principle is ablation of dead space The final principle is soft tissue coverage and