改良打壓游離植骨治療長段骨缺損一例_Chinese Journal of Reparative and Reconstructive Surgery

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殷渠東 , 芮永軍 , 顧三軍 , 孫振中 , 吳永偉 , 孔友誼 , 壽奎水

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Keywords：

脛骨; 長段骨缺損; 打壓游離植骨; 內固定

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目的介紹改良打壓游離植骨治療長段骨缺損的手術方法及療效。方法 2009 年6 月，對1 例46
歲外傷性左脛骨中下段骨折合并骨外露、骨髓炎致骨缺損長6.5 cm 男性患者，在傷口愈合和感染控制后二期采用切開交
鎖髓內釘固定、可吸收線網包裹自體骨行打壓游離植骨。結果術后隨訪24 個月，踝關節活動度僅輕度受限，美國矯
形足踝協會（AOFAS）踝關節功能評分87 分，為良；術后6 個月見斷端骨痂初步連接，術后10 個月斷端完全骨性愈合。
未行髓內釘取出。結論打壓游離植骨方法的成功，改變了既往認為 gt; 6 cm 長段骨缺損只適宜帶血運的骨移植而不適
宜游離植骨的傳統觀點；改良打壓游離植骨是治療長段骨缺損的有效方法之一，較鈦網打壓游離植骨費用更低。

Citation： 殷渠東,芮永軍,顧三軍,孫振中,吳永偉,孔友誼,壽奎水. 改良打壓游離植骨治療長段骨缺損一例. Chinese Journal of Reparative and Reconstructive Surgery, 2012, 26(5): 637-638. doi: Copy

1.	Cobos JA, Lindsey RW, Gugala Z. The cylindrical titanium mesh cage for treatment of a long bone segmental defect: description of a new technique and report of two cases. J Orthop Trauma, 2000, 14(1): 54-59.
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1. Cobos JA, Lindsey RW, Gugala Z. The cylindrical titanium mesh cage for treatment of a long bone segmental defect: description of a new technique and report of two cases. J Orthop Trauma, 2000, 14(1): 54-59.
2. Bullens PH, Bart Schreuder HW, de Waal Malefijt MC, et al. Is an impacted morselized graft in a cage an alternative for reconstructing segmental diaphyseal defects? Clin Orthop Relat Res, 2009, 467(3): 783-791.
3. Clements JR, Carpenter BB, Pourciau JK. Treating segmental bone defects: a new technique. J Foot Ankle Surg, 2008, 47(4): 350-356.
4. Segal U, Shani J. Surgical management of large segmental femoral and radial bone defects in a dog: through use of a cylindrical titanium mesh cage and a cancellous bone graft. Vet Comp Orthop Traumatol, 2010, 23(1): 66-70.
5. Attias N, Lehman RE, Bodell LS, et al. Surgical management of a long segmental defect of the humerus using a cylindrical titanium mesh cage and plates: a case report. J Orthop Trauma, 2005, 19(3): 211-216.
6. Attias N, Lindsey RW. Case reports: management of large segmental tibial defects using a cylindrical mesh cage. Clin Orthop Relat Res, 2006, (450): 259-266.

Chinese Journal of Reparative and Reconstructive Surgery

改良打壓游離植骨治療長段骨缺損一例

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