在 Masquelet 技术的第一阶段使用抗生素水泥涂层钉治疗感染性节段性骨缺损。钉子周围水泥垫片的植入和移除：技术说明。

IF 1.2 Q3 ORTHOPEDICS

Archives of Bone and Joint Surgery-ABJS Pub Date : 2024-01-01 DOI:10.22038/ABJS.2024.72941.3383

Germán Garabano, Gonzalo M Viollaz, Cesar Angel Pesciallo

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引用次数: 0

摘要

股骨和胫骨感染性节段性骨缺损（ISBD）是一项重大挑战。传统上，Masquelet 技术第一阶段的骨固定包括外固定，但髓内钉固定近来越来越受欢迎。尽管如此，人们却很少关注髓内钉周围间隔物的制作、植入和移除。在本技术说明中，我们介绍了庆大霉素骨水泥涂层硬质钉作为第一阶段的最终固定。我们还详细介绍了在钉子周围植入和取出一体式染色抗生素垫片的技术。我们强调了这一多功能技术的关键步骤之一的潜在优势。

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Management of Infected Segmental Bone Defects with Antibiotic-Cement-Coated Nails in the First Stage of the Masquelet Technique. Implantation and Removal of the Cement Spacer around the Nail: A Technical Note.

Infected segmental bone defects (ISBD) of the femur and tibia pose a significant challenge. Traditionally, bone fixation in the first stage of the Masquelet technique involves external fixation, but intramedullary nail fixation has recently gained popularity. Despite this, little attention has been focused on the elaboration, implantation, and removal of the spacer around the nail. In this technical note, we present gentamicin cement-coated rigid nails as definitive fixation in the first stage. We also detail the technique for placing and removing the one-piece dyed antibiotic spacer around the nail. We highlight its potential benefits in one of the critical steps of this versatile technique.

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来源期刊

Archives of Bone and Joint Surgery-ABJS ORTHOPEDICS-

CiteScore

2.30

自引率

0.00%

发文量

128

期刊介绍： The Archives of Bone and Joint Surgery (ABJS) aims to encourage a better understanding of all aspects of Orthopedic Sciences. The journal accepts scientific papers including original research, review article, short communication, case report, and letter to the editor in all fields of bone, joint, musculoskeletal surgery and related researches. The Archives of Bone and Joint Surgery (ABJS) will publish papers in all aspects of today`s modern orthopedic sciences including: Arthroscopy, Arthroplasty, Sport Medicine, Reconstruction, Hand and Upper Extremity, Pediatric Orthopedics, Spine, Trauma, Foot and Ankle, Tumor, Joint Rheumatic Disease, Skeletal Imaging, Orthopedic Physical Therapy, Rehabilitation, Orthopedic Basic Sciences (Biomechanics, Biotechnology, Biomaterial..).