腓肠神经皮瓣联合灌洗Ⅰ期治疗胫骨下段创伤性骨髓炎的临床研究

Abstract
Figure/Table
References (15)
Related Citation (0)

Download: PDF (0 KB) HTML (35 KB)
Export: BibTeX | EndNote (RIS)

Abstract ObjectiveTo discuss the clinical efficacy of sural nerve flap combined with Phase-Ⅰlavage in treatment of the patients with traumatic osteomyelitis in the lower segment of tibia,so as to provide a basis for improving the treatment effect of osteomyelitis.MethodsAltogether 32 patients with traumatic osteomyelitis in the lower segment of tibia who were treated in the department of orthopedics of our hospital from June 2014 to June 2016 were selected as the subjects of this research.After acquisition of the patients′informed consent,the patients were divided into two groups according to the order of admission,16 cases in each group.The experiment group was treated with combination of sural nerve flap and Phase-Ⅰlavage;while,the control group was treated with traditional surgical treatment methods.Patients′duration of surgery,recovery time and postoperative recurrence of osteomyelitis were compared between two groups.ResultsThe average duration of surgery of the experiment group was shorter than that of the control group,with statistically significant difference(P<0.05);the average postoperative rehabilitation of the experiment group was longer that of the control group,with statistically significant difference(P<0.05).In the control group,3 cases had recurrent osteomyelitis,but the experiment group had no recurrence.The recurrence rate of the experiment group was lower than that of the control group.The two groups had statistically significant difference in the recurrence rate　(P<0.05).ConclusionThe application of combination of sural nerve flap and Phase-Ⅰlavage has a good therapeutic effect in treatment of the patients with traumatic osteomyelitis in the lower segment of tibia,which effectively reduces the possibility of postoperative recurrence of osteomyelitis and is worthy of clinical application.

Key words： Sural nerve flap Postoperative lavage Traumatic osteomyelitis

	Service

	E-mail this article
	Add to my bookshelf
	Add to citation manager
	E-mail Alert
	RSS
	Articles by authors
	YANG Zhi-fen
	YUAN Ya
	ZHAN Wei-bing
	ZOU Xin-ming
	FAN Nai-ren

Cite this article:

YANG Zhi-fen,YUAN Ya,ZHAN Wei-bing, et al. Clinical study of sural nerve flap combined with phase-Ⅰlavage in the treatment of traumatic osteomyelitis in the lower segment of tibia[J]. 中国当代医药, 2018, 25(18): 55-57.

URL:

http://dangdaiyiyao.com/EN/ OR http://dangdaiyiyao.com/EN/Y2018/V25/I18/55

[1]	孟庆刚，杨大威，李卫，等.VSD联合腓肠肌内侧头肌瓣转移术在胫骨创伤性骨髓炎治疗中的应用[J].中国骨与关节损伤杂志，2011，26（7）：664-665.
[2]	王新卫，冯峰，李勇军，等.腓肠神经皮瓣联合灌洗Ⅰ期治疗胫骨下段创伤性骨髓炎的临床[J].中国矫形外科杂志，2006，14（14）:1058-1060.
[5]	刘立峰，邹林，蔡锦方.创伤性骨髓炎[J].中国矫形外科杂志，2009，17（10）：766-768.
[6]	Saran U，Gemini PS，Chatterjee S.Role of angiogenesis in bone repair[J].Arch Biochem Biophys，2014 561（2）：109-117.
[7]	沈美华，艾合买提江·玉树甫，任鹏，等.外固定架与负压封闭引流及带蒂背阔肌皮瓣移植修复肱骨远端创伤性骨髓炎[J].中国组织工程研究，2014，18（48）：7797-7803.
[3]	Ajmera A，Verma A，Agrawal M，et al.Outcome of limb reconstruction system in open tibial diaphyseal fractures[J].Indian J Orthop，2015，49（4）：429-435.
[4]	Atef A，El-Tantawy A.Management of open infected comminuted tibial fractures using Ilizarov concept[J].Eur J Orthop Surg Traumatol，2014，24（3）：403-408.
[8]	Yazar S，Lin CY，Ulusal A，et al.Outcome comparison between free muscle and free fasciocutaneous flaps for reconstruction of distal third and ankle traumatic open tibial fractures[J].Plast Reconstr Surg，2006，117（7）：2468-2475.
[9]	韩峰，刘国泰.负压封闭引流技术治疗急性胫骨创伤性骨髓炎临床疗效分析[J].中外医疗，2014，35（18）：69.
[10]	胥少汀，葛宝丰，徐印坎.实用骨科学[M].3版.北京：人民军医出版社，2005.
[11]	邹方亮，王庚启.远端蒂腓肠神经营养血管皮瓣联合外固定支架治疗胫骨下段开放性骨折的效果分析[J].中国矫形外科杂志，2017，25（6）：558-560.
[12]	侯熙智，付强，闫世杰，等.抗生素骨水泥联合Ilizarov外固定架手风琴技术治疗胫骨重度慢性骨髓炎骨缺损的疗效及 Paley 愈合评价[J].中国药业，2015，24（23）：139-140.
[13]	刘晖.负压封闭引流联合开放性植骨术治疗胫骨创伤性骨髓炎的临床研究[J].中国实用医药，2016，11（23）：34-35.
[14]	王浩，张普柱.肌皮瓣和筋膜皮瓣加创面灌洗治疗创伤后胫骨慢性骨髓炎疗效研究[J].中国全科医学，2011，14（24）：2758-2760.
[15]	覃松，喻忠斌，夏晓枫，等.逆行腓肠神经营养血管蒂带薄层肌肉岛状皮瓣修复胫骨慢性骨感染缺损创面[J].临床骨科杂志，2016，19（2）：189-192.