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1、大块病骨切除+截骨延长治疗胫骨骨髓炎骨不连10例【摘要】目的：探索治疗胫骨骨髓炎、骨不连的新方法。方法:将病灶病骨大块切除，用外固定支架缩短加压固定病骨切除骨的两断端，同时在干骺端用自行研制的针锯潜行截骨，用同一支架进行缓慢延长，恢复肢体长度。结果:共用此方法治疗10例病人，全部是属于严重开放性粉碎性骨折，而且都是骨外露，由于骨髓炎、骨不连，经用各种常规手术及治疗未获成功，使用大块病骨切除，外固定架加压压缩固定，同时在干骺端用自行研制的针锯潜行截骨，恢复切除病骨的长度。10例分别切除病骨死骨3.0~14公分，干骺端分别延长3.0~
2、14公分，全部获得成功，骨髓炎治愈。结论:大块病骨病灶切除缩短加压固定是治疗骨髓炎及骨不连的一种方法，干骺端截骨延长可以完全恢复切除的长度，恢复患肢功能。【关键词】大块病骨切除；截骨延长；胫骨骨髓炎；骨不连【Abstract】Objective:Theexplorationtreatmentshinboneosteomyelitis,thebonedonotlinknewmethod.Method:Willgetsickthestovebodyemaciatedbysicknessbulkexcision,willreducewi
3、ththeoutsidefixedsupportpressurizesthefixedbodyemaciatedbysicknesstoexcisethebonetwotobreaktheend,simultaneouslywillbedoingtheepiphysisendwiththeneedlesawwhichindependentlywilldeveloptodivethegoodtruncationbone,willcarryonwiththeidenticalsupportslowlylengthens,restore
4、sthebodylength.Result:Altogetherusesthismethodtotreat10examplespatients,completelybelongstotheseriousopensmashingbonefracture,moreoverallisoutsidethebonereveals,asaresultoftheosteomyelitis,thebonenotcompany,thedurableeachkindofconventionalsurgeryandthetreatmenthasnota
5、ttainedsuccessfully,theusebulkbodyemaciatedbysicknessexcision,outsidethebracketfixingpressurizesthecompressiontobefixed,simultaneouslyisdoingtheepiphysisendwiththeneedlesawwhichindependentlydevelopstodivethegoodtruncationbone,restoresexcisesthebodyemaciatedbysicknesst
6、helength.10examplesseparatelyexcisethebodyemaciatedbysicknessdeadbone3.0~14centimeter,doestheepiphysisendseparatelytolengthenthe3.0~14centimeter,completelyobtainssuccessfully,theosteomyelitiscures.Conclusion:Thebulkbodyemaciatedbysicknesssicknessstoveexcisionreducespr
7、essurizesfixedlytreatsonemethodwhichtheosteomyelitisandthebonedoesnotlink,doestheepiphysisendtruncationbonetolengthenmaycompletelyrestoretheexcisionthelength,restoresthetroubleextremityfunction.【Keywords】Bulkbodyemaciatedbysicknessexcision;Thetruncationbonelengthens;S
8、hinboneosteomyelitis;Bonenot3company胫腓骨开放性粉碎性骨折，因污染严重，清创、内固定术后不少病例会出现骨髓炎、骨不连等并发症，严重的病例尽管采取各种各样治疗措施和抗生素，治疗效果仍不理想。我院从1997~2004
