PDF(Pubmed)
Abstract：
The orthoplastic treatment of post-traumatic bone infections is complex and requires a multidisciplinary approach using both orthopedic and plastic surgery principles. Its primary goal is to achieve rapid control of the infection through aggressive debridement of the affected tissue, in order to perform a complete reconstruction of the limb. This allows both its salvage and restoration of function. We present a patient with septic non-union secondary to distal tibia fracture with a bone defect of 7 cm and severe soft tissue injury. The treatment was divided into three stages. First, the infection was controlled by radical debridement, limb shortening, and temporary stabilization. Second, early reconstruction was initiated utilizing the first stage of the Masquelet\'s induced membrane technique (MIMT), and soft tissue coverage with free flap. Third, MIMT was finalized, and bone lengthening with PRECICE nail was performed. We consider this approach effective as it can offer early recovery with optimal functional and aesthetic results in bone defects associated with coverage defects.
摘要：
创伤后骨感染的矫正治疗是复杂的，需要使用骨科和整形外科原理的多学科方法。其主要目标是通过对受影响组织进行积极清创来实现感染的快速控制，以完成肢体的完整重建。这允许其挽救和恢复功能。我们介绍了一例胫骨远端骨折继发的感染性骨不连，骨缺损为7厘米，严重的软组织损伤。治疗分为三个阶段。首先,感染是通过彻底清创术控制的，肢体缩短，暂时稳定。第二,早期重建是利用Masquelet诱导膜技术(MIMT)的第一阶段开始的，用游离皮瓣覆盖软组织。第三，MIMT最终确定，用PRECICE钉进行骨延长。我们认为这种方法是有效的，因为它可以提供早期恢复，并在与覆盖缺陷相关的骨缺损中具有最佳的功能和美学效果。
