皮质骨钻孔、一期植骨治疗慢性骨髓炎(附26例临床分析)

作者自1984年起应用自行设计的皮质骨钻孔、一期植骨治疗慢性骨髓炎的新方法治疗了26例病人,有效率为88.5%。本方法打破了传统的在有窦道的骨髓炎中不能植骨、必须凿除硬化骨的观念,既治愈了骨髓炎,又不破坏骨的牢固性,使硬化骨密度减低、皮质变薄。

Drilling of Cortical Bone and Primary Graft of Bone for Treatment of Chronic Osteomyelitis (A Report of 26 Cases)

Since 1984 ,we have treated 26 cases of chronic osteomyelitis by drilling of cortical bone and primary graft of bone. The involved parts in the most patients were in the lower extremities,and in 18 cascs who were complicated with discharging sinuses. The new method designed by the authors was proved to be good and 88.5% of excellent results were reached clinically. The characteristics of this method are as follows: Firstly, it is said that the bone graft is not adequate to the chronic osteomyelitis with discharging sinuses in traditional treatments. Otherwise the grafts will become a new necrotic bone as result of failure of operation. Howrver,in our series.of 18 cases of chronic osteomyelitis with discharging sinuses were cured by primary graft and incisions were nealing by first intention in majorities None of recurrence was seen postoperatively. Secondarly.in the cases of chronic osteomyelitis, the sclerotic bone which usually was excised in traditional treatment were merely drilled in order to improve the blood supply of involved region. Radiologically, the density of sclerotic bone was reduced obviously , and the cortices became thinned.