一期手术治疗跟骨创伤性慢性骨髓炎

目的探讨腓动脉穿支(肌)皮瓣联合载抗生素人工骨一期治疗跟骨创伤性慢性骨髓炎的临床疗效。方法对32例跟骨创伤性慢性骨髓炎患者在一期扩创彻底清除骨髓炎病灶的基础上采用载抗生素人工骨植骨抗感染、切取腓动动脉穿支(肌)皮瓣覆盖创面的方式修复治疗。结果患者均获得随访,时间6~32个月。皮瓣均成活,外观形态良好。骨髓炎无复发情况,骨折愈合情况良好,无畸形愈合,骨性愈合时间为6~9.8个月。结论腓动脉穿支(肌)皮瓣联合载抗生素人工骨一期治疗跟骨创伤性慢性骨髓炎是治疗创伤性慢性骨髓炎较理想的方法。

The one-stage surgical treatment of traumatic chronic osteomyelitis on the calcaneus

Objective To discuss the clinical efficacy of debridement, peroneal artery perforator ( muscle) flap com-bined with bone substitute contained antibiotics one-stage treatment of traumatic chronic osteomyelitis on the calcane-us. Methods On the basis of debridement and complete removal of the osteomyelitis lesion,32 cases of patients with traumatic chronic osteomyelitis on the calcaneus were used bone graft contained antibiotics anti-infective, peroneal ar-tery perforator ( muscle) flap to cover the wound. Results All 32 patients were followed up for 6~32 months. Pa-tients with skin flap were survival, with good shape, no recurrence of osteomyelitis. Fracture got healing well, no de-formity healing occurred, bony healing time was 6~9. 8 months. Conclusions Peroneal artery perforators ( muscle) flap combined with bone contained antibiotics one-stage treatment of traumatic chronic osteomyelitis on the calcaneus is an ideal method.