铜绿假单胞菌引起的脓毒性胫骨假关节。骨移植治疗。

E. Ferrando Meseguer, F. SEGURA LLOPIS, F. Almeida Herrero, Alberto TEJEDA GÓMEZ, Damián Mifsut Miedes
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引用次数: 0

摘要

脓毒性骨不连仍然是骨科医生面临的挑战。它的分辨率复杂,流动性强。它需要一个多学科的方法。胫骨远端是一个常见的位置,因为它的血管和软组织较差。我们提出了一个病人假关节的胫骨切除和骨运输治疗。5个月时在对接地点实现了接触。进行骨移植和骨折端新鲜处理。12个月时,在完全巩固后取出框架。作为唯一的并发症,患者有两次蜂窝织炎发作,并通过抗生素治疗解决。
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Pseudoartrosis séptica de tibia por pseudomona aeruginosa. Tratamiento mediante transporte óseo.
Septic non union has still been a challenge for orthopedic surgeons. Its resolution is complex and has hight morbility. It needs a multidisciplinary approach. Distal tibia is a common location due its poor vascularity and soft tissues. We present a patient with pseudoarthrosis of the tibia treated with resection and bone transport. Contact was achieved at the docking site at 5 months. Bone grafting and freshening of fracture ends was performed. At 12 months the frame was removed after complete consolidation. As the only complication, the patient suffered two episodes of cellulitis that were resolved with antibiotic therapy.
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