清创植骨皮瓣转移治疗创伤性胫骨骨髓炎

目的 总结清创植骨及皮瓣转移治疗创伤性骨髓炎的方法和疗效.方法 2003年3月～2008年7月,对16例创伤性骨髓炎合并骨及软组织缺损病例,采用清创植骨,选择腓肠肌皮瓣10例、足背皮瓣2例、腓肠神经营养皮瓣2例、交腿皮瓣2例一期修复创面,观察术后皮瓣成活情况、骨折愈合情况及骨髓炎治愈情况.结果 术后随访6～38个月...

Debridement bone grafting and transfer of skin flap as the treatment for traumatic osteomyelitis

Aim To summarize（describe） the method and clinical effects of debridement grafting and transfer of skin flap in treatment of traumatic osteomyelitis.Methods From March 2003 to July 2008,16 patients with traumatic osteomyelitis in lower limb combined with bone and soft tissue defect were included in this study.We used the debridement,bone grafting,and selected the gastrocnemius flap in 10 cases,2 cases of dorsal foot flap,2 cases of flap,cross-leg flap 2 cases of a wound repair.Results The results were followed up for 6~38 months,an average of 9 months.Bone healing time was 6~13 months,mean 7.5 months.According to the Paley score,there were excellent 15 and good 1.Functional results were 13 excellent and good,2 fair and 1 poor.Wound healing in 13 cases of stage Ⅰ,Ⅱ healing in 2 cases,1 case with obvious sinus.Conclusion Traumatic osteomyelitis were able to heal by first intention,by debridement,cancellous bone graft particles,selection of appropriate adjacent flap repair,which was effective,short-course,and easy.