Da-Peng Yu, Xiao-Chong Zou, Xu-Bo Long, Xin-Yu Nie, Qi-Kai Hua
{"title":"【胫骨横移联合清创术治疗下肢坏死性筋膜炎31例临床疗效观察】。","authors":"Da-Peng Yu, Xiao-Chong Zou, Xu-Bo Long, Xin-Yu Nie, Qi-Kai Hua","doi":"10.12200/j.issn.1003-0034.20241220","DOIUrl":null,"url":null,"abstract":"<p><strong>Objective: </strong>To explore clinical efficacy of tibial transverse transport (TTT) combined with debridement in treating necrotizing fasciitis of the lower extremities.</p><p><strong>Methods: </strong>A retrospective analysis was conducted on 31 patients with necrotizing fasciitis of the lower extremities who were treated with TTT from January 2021 to October 2023, including 28 males and 3 females, aged from 44 to 76 years old with an average of (57.58±8.79) years old. In-hospital mortality rate, amputation rate, length of hospital stay, hospitalization cost, number of surgeries, and inflammatory indicators before and after operation (white blood cells, hemoglobin, C-reactive protein, albumin), as well as wound healing and daily living ability were observed and compared.</p><p><strong>Results: </strong>All 31 patients were followed up for 3 to 12 months with an average of (6.61±2.46) months. All patients' wounds healed without recurrence. The wound healing time was (4.96±2.61) months, amputation rate of 31 patients was 3.22% (1/31), in-hospital mortality rate was 0%, the length of hospital stay was (27.10±24.51) days, the hospitalization cost was (107, 300 ± 83, 300) yuan, and the number of surgeries was (3.26±1.93) times. White blood cells, C-reactive protein and albumin before operation were (13.41±5.54) ×10<sup>9</sup>/L, (136.67±73.50) mg·L<sup>-1</sup> and (25.92±5.59) g·L<sup>-1</sup>1 respectively, and improved to (11.05±3.65) ×10<sup>9</sup>/L, (79.91±51.40) mg·L<sup>-1</sup>, and (30.31±4.02) g·L<sup>-1</sup> at 2 weeks after operation, and the differences were statistically significant (<i>P</i><0.05);there was no statistically significant difference in hemoglobin before and after operation (<i>P</i>>0.05). At the latest follow-up, 16 patients were able to take care of themselves, 12 patients were partially self-sufficient, and 3 patients were completely unable to take care of themselves.</p><p><strong>Conclusion: </strong>TTT with debridement could achieve satisfactory clinical efficacy in treating necrotizing fasciitis of the lower extremities.</p>","PeriodicalId":23964,"journal":{"name":"Zhongguo gu shang = China journal of orthopaedics and traumatology","volume":"38 9","pages":"945-50"},"PeriodicalIF":0.0000,"publicationDate":"2025-09-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"[Clinical efficacy of tibial transverse transport with debridement for the treatment of 31 patients with necrotizing fasciitis of the lower extremities].\",\"authors\":\"Da-Peng Yu, Xiao-Chong Zou, Xu-Bo Long, Xin-Yu Nie, Qi-Kai Hua\",\"doi\":\"10.12200/j.issn.1003-0034.20241220\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Objective: </strong>To explore clinical efficacy of tibial transverse transport (TTT) combined with debridement in treating necrotizing fasciitis of the lower extremities.</p><p><strong>Methods: </strong>A retrospective analysis was conducted on 31 patients with necrotizing fasciitis of the lower extremities who were treated with TTT from January 2021 to October 2023, including 28 males and 3 females, aged from 44 to 76 years old with an average of (57.58±8.79) years old. In-hospital mortality rate, amputation rate, length of hospital stay, hospitalization cost, number of surgeries, and inflammatory indicators before and after operation (white blood cells, hemoglobin, C-reactive protein, albumin), as well as wound healing and daily living ability were observed and compared.</p><p><strong>Results: </strong>All 31 patients were followed up for 3 to 12 months with an average of (6.61±2.46) months. All patients' wounds healed without recurrence. The wound healing time was (4.96±2.61) months, amputation rate of 31 patients was 3.22% (1/31), in-hospital mortality rate was 0%, the length of hospital stay was (27.10±24.51) days, the hospitalization cost was (107, 300 ± 83, 300) yuan, and the number of surgeries was (3.26±1.93) times. White blood cells, C-reactive protein and albumin before operation were (13.41±5.54) ×10<sup>9</sup>/L, (136.67±73.50) mg·L<sup>-1</sup> and (25.92±5.59) g·L<sup>-1</sup>1 respectively, and improved to (11.05±3.65) ×10<sup>9</sup>/L, (79.91±51.40) mg·L<sup>-1</sup>, and (30.31±4.02) g·L<sup>-1</sup> at 2 weeks after operation, and the differences were statistically significant (<i>P</i><0.05);there was no statistically significant difference in hemoglobin before and after operation (<i>P</i>>0.05). At the latest follow-up, 16 patients were able to take care of themselves, 12 patients were partially self-sufficient, and 3 patients were completely unable to take care of themselves.</p><p><strong>Conclusion: </strong>TTT with debridement could achieve satisfactory clinical efficacy in treating necrotizing fasciitis of the lower extremities.</p>\",\"PeriodicalId\":23964,\"journal\":{\"name\":\"Zhongguo gu shang = China journal of orthopaedics and traumatology\",\"volume\":\"38 9\",\"pages\":\"945-50\"},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2025-09-25\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Zhongguo gu shang = China journal of orthopaedics and traumatology\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.12200/j.issn.1003-0034.20241220\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q4\",\"JCRName\":\"Medicine\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Zhongguo gu shang = China journal of orthopaedics and traumatology","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.12200/j.issn.1003-0034.20241220","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"Medicine","Score":null,"Total":0}
[Clinical efficacy of tibial transverse transport with debridement for the treatment of 31 patients with necrotizing fasciitis of the lower extremities].
Objective: To explore clinical efficacy of tibial transverse transport (TTT) combined with debridement in treating necrotizing fasciitis of the lower extremities.
Methods: A retrospective analysis was conducted on 31 patients with necrotizing fasciitis of the lower extremities who were treated with TTT from January 2021 to October 2023, including 28 males and 3 females, aged from 44 to 76 years old with an average of (57.58±8.79) years old. In-hospital mortality rate, amputation rate, length of hospital stay, hospitalization cost, number of surgeries, and inflammatory indicators before and after operation (white blood cells, hemoglobin, C-reactive protein, albumin), as well as wound healing and daily living ability were observed and compared.
Results: All 31 patients were followed up for 3 to 12 months with an average of (6.61±2.46) months. All patients' wounds healed without recurrence. The wound healing time was (4.96±2.61) months, amputation rate of 31 patients was 3.22% (1/31), in-hospital mortality rate was 0%, the length of hospital stay was (27.10±24.51) days, the hospitalization cost was (107, 300 ± 83, 300) yuan, and the number of surgeries was (3.26±1.93) times. White blood cells, C-reactive protein and albumin before operation were (13.41±5.54) ×109/L, (136.67±73.50) mg·L-1 and (25.92±5.59) g·L-11 respectively, and improved to (11.05±3.65) ×109/L, (79.91±51.40) mg·L-1, and (30.31±4.02) g·L-1 at 2 weeks after operation, and the differences were statistically significant (P<0.05);there was no statistically significant difference in hemoglobin before and after operation (P>0.05). At the latest follow-up, 16 patients were able to take care of themselves, 12 patients were partially self-sufficient, and 3 patients were completely unable to take care of themselves.
Conclusion: TTT with debridement could achieve satisfactory clinical efficacy in treating necrotizing fasciitis of the lower extremities.
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