|
|
|
| Clinical Efficacy of Closed Vacuum Sealing Drainage (VSD) Combined with Masquelet Technique for Traumatic Sacral Osteomyelitis |
| DU Yuanliang, XIAO Tianjie, GENG Yanxia |
| The Affiliated Hospital of Chengde Medical College, Hebei Chengde 067000, China |
|
|
|
|
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.
|
|
|
|
|
|
[1] 蔡成阔,舒衡生.Masquelet技术治疗骨缺损的研究进展[J].中华骨科杂志,2018,38(3):186~192.
[2] 张正东,李军,李沁,等.四肢长骨创伤后骨髓炎的诊疗进展[J].实用医学杂志,2019,35(4):658~661.
[3] 张一,田晓滨,佘荣峰,等.膜诱导技术结合抗生素硫酸钙颗粒治疗下肢感染性骨缺损[J].中华骨科杂志,2017,37(9):513~519.
[4] Henrich D,Seebach C,Nau C,et al.Establishment and characterization of the masquelet induced membrane technique in a rat femur critical-sized defect model[J].Tissue Eng Regen Med,2016,10(10):E382~E396. |
|
|
|
2020, Vol. 26 
