Limb salvage in advanced chronic osteomyelitis in children

被引：10

作者：

Zahiri, CA ^{[1
]}

Zahiri, H ^{[1
]}

Tehrany, F ^{[1
]}

机构：

[1] ORTHOPAED CTR JOINT DISORDERS,LOS ANGELES,CA 90211

来源：

INTERNATIONAL ORTHOPAEDICS | 1997年 / 21卷 / 04期

关键词：

Daily Living; Blood Supply; Osteomyelitis; Limb Salvage; Tibial Shaft;

D O I：

10.1007/s002640050160

中图分类号：

R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学（修复外科学）];

学科分类号：

摘要：

Chronic osteomyelitis of the entire tibial shaft was treated in 9 children by medical and surgical management in 3 stages. In stage 1, the involved shaft was excised with debridement of the periosteum. Stage 2 consisted of continuous suction-irrigation of the periosteal space with local and systemic antibiotics. In stage 3, the ipsilateral fibular shaft was transferred into the tibial periosteal envelope with the muscles of the middle third and its blood supply. After 18 months, the transferred fibula grew into a new tibia in every case so that the children were able to carry our all their activities of daily living. This method remains the best way of salvaging the limb when the entire tibia is involved.

引用

页码：249 / 252

页数：4

共 9 条

[1] TREATMENT OF TIBIAL OSTEOMYELITIC DEFECTS AND INFECTED PSEUDARTHROSES BY THE HUNTINGTON FIBULAR TRANSFERENCE OPERATION [J].