CAJ | 학술논문

目的探讨清创后I期颗粒状自体松质骨移植治疗感染性骨不连的疗效.方法 1999至2005年,对南京军区南京总医院骨科38例感染性骨不连患者采用清创后I期颗粒状自体松质骨移植方法进行治疗.结果平均随访44个月(12～93个月),38例患者中,33例(86.8%)获得骨愈合、感染消灭,5例(13.2%)患者感染复发和(或)再不连(其中1例感染伴再不连).2例患者拆除外固定支架后发生再骨折.结论清创后I期颗粒状自体松质骨移植治疗感染性骨不连可以获得较高的感染治愈率及骨愈合率.
목적 탐토청창후I기과립상자체송질골이식치료감염성골불련적료효.방법 1999지2005년,대남경군구남경총의원골과38례감염성골불련환자채용청창후I기과립상자체송질골이식방법진행치료.결과 평균수방44개월(12～93개월),38례환자중,33례(86.8%)획득골유합、감염소멸,5례(13.2%)환자감염복발화(혹)재불련(기중1례감염반재불련).2례환자탁제외고정지가후발생재골절.결론 청창후I기과립상자체송질골이식치료감염성골불련가이획득교고적감염치유솔급골유합솔.
Objective To investigate the curative effect of treating infected nonunion with debridement and granulated caneellous bone autograffing in a one-stage procedure.Methods Between 1999 and 2005,38 cases of infected nonunion were treated with immediate granulated cancellous bone autografting after debridement.Results At a mean follow-up of 44months(range:12 to 93),33/38(86.8%)had an excellent outcome,5(13.2%)developed infectious recurrent and/or persistent nonunion(1 case with infectious recurrence and persistent nonunion).Two patients suffered refractttre after removing external fixator.Conclusion The success rate of treating infected nonunion with debridement and granulated cancellous bone autografting in one-stage is high.