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|本期目录/Table of Contents|

Masquelet技术联合皮肤牵张技术治疗GustiloⅢ型开放性骨折的效果分析(PDF)

《创伤外科杂志》[ISSN:/CN:]

期数:
2020年10期
页码:
772-775
栏目:
论著·临床研究
出版日期:
2020-10-20

文章信息/Info

Title:
Therapeutic effect of Masquelet technique combined with skin-stretching technique for the treatment of GustiloⅢ open fractures
文章编号:
1009-4237(2020)10-0772-04
作者:
张 立; 余 雪; 于 佳; 赵国平; 王代荣; 秦庆发; 闫泽正; 欧娈海; 孙 艳; 周艳莲
541002 广西 桂林,桂林市人民医院创伤骨科/手足踝外科
Author(s):
ZHANG Li; YU Xue; YU Jia; ZHAO Guo-ping; WANG Dai-rong; QIN Qing-fa; YAN Ze-zheng; OU Luan-hai; SUN Yan; ZHOU Yan-lian
Department of Traumatic Orthopaedics/Department of Hand,Foot and Ankle Surgery,Guilin People's Hospital,Guilin,Guangxi 541002,China
关键词:
开放性骨折;  Masquelet技术;  皮肤牵张技术
分类号:
R 683.41
DOI:
10.3969/j.issn.1009-4237.2020.10.011
文献标识码:
A
摘要:
目的 探讨Masquelet技术联合皮肤牵张技术治疗GustiloⅢ型开放性骨折的效果。方法 回顾性分析2014年1月—2018年1月桂林市人民医院应用Masquelet技术联合皮肤牵张技术治疗的17例GustiloⅢ型开放性骨折患者病历资料。男性14例,女性3例; 年龄18～58岁,平均38.7岁; 骨折分型GustiloⅢb型15例,GustiloⅢc型2例; Tscherne软组织损伤分类2级11例,3级6例; 胫腓骨16例,尺桡骨1例; 伴有骨缺损6例。受伤至入院时间47～485min,平均205.4min; 入院后初次手术时间35～72min,平均46.2min。观察患者术后骨折愈合、皮瓣覆盖及感染等并发症发生情况。结果 患者均通过门诊随访,时间18～48个月,平均25.6个月。患者手术2～5次,平均3.4次; 骨折均达到临床愈合,愈合时间6～11个月,平均8.2个月。2例出现感染控制不佳,通过2～3次骨水泥植入后植骨愈合。2例术后骨水泥外露,通过Ⅱ期手术创面完全闭合。1例出现皮肤边缘部分坏死,Ⅱ期手术清创后创面完全闭合。结论 Masquelet技术和皮肤牵张技术在治疗GustiloⅢ型开放性骨折中优缺点互补,能够在覆盖创面同时很好地控制感染,效果良好。

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备注/Memo

备注/Memo:
【基金项目】 广西壮族自治区卫生和计划生育委员会自筹经费科研课题(Z2015227); 广西壮族自治区临床重点专科建设项目经费资助
更新日期/Last Update: 2020-10-20