Abstract：Objective: To investigate the clinical efficacy of focal debridement combined with closed vacuum drainage and Masquelet in the treatment of traumatic osteomyelitis of the tibia. Methods: 59 patients with traumatic tibial osteomyelitis who were hospitalized in our hospital from January 2014 to July 2017 to receive focus clearance and closed negative pressure drainage to control bone infection were selected. 31 patients in the observation group were treated with masquelet technology to repair bone defects, and 28 patients in the control group were treated with direct autogenous bone grafting. The complications, healing time and self-care ability (SF-36) of the two groups were compared. Results: The observation group had lower bone resorption complications and fracture healing time than the control group (P<0.05). The self-care ability score of the observation group was higher than that of the control group at 3 months after operation (P<0.05). Conclusion: Focal debridement combined with closed negative pressure drainage and Masquelet technique for the treatment of traumatic tibiofibular osteomyelitis can shorten the time of bone healing, reduce the complications of osteolysis, and greatly improve the patient's ability to live.
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2020, Vol. 26 
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