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題名 | Treatment of Infected Tibial Nonunion with Tobramycin-Impregnated Calcium Sulfate: Report of Two Cases=以含抗生素人工骨治療脛骨感染性癒合不良:二例報告 |
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作者 | 蔡燿鴻; 黃聰仁; 施信農; 許文蔚; | 書刊名 | 長庚醫學 |
卷期 | 27:7 民93.07 |
頁次 | 頁542-547 |
分類號 | 416.26 |
關鍵詞 | 骨髓炎; 人工骨; 脛骨; Osteomyelitis; Osteoset; Tibia; |
語文 | 英文(English) |
中文摘要 | 治療脛骨骨髓炎癒合不良通常用階段性重建。我們報告2位因抗藥性金黃色葡萄球菌感染導致脛骨骨髓炎及癒合不良病人,經過第一階段拔骨釘、裁創術及置入抗生骨水泥珠和第二階段之骨釘板固定和含Torbamycin之人工骨後,在術後3年追蹤中,病人的骨昤癒合良好,且無復發感染。因此含抗生素之人工骨移植是為治療骨髓炎併癒點不良的另一種選擇。 |
英文摘要 | The treatment of infected tibial nonunion usually includes a staged reconstruction protocol. We present 2 patients with tibial nonunion and plate lossening with oxacillin-resistant Staphylococcus auresus infection. The patients were treated using the removal of the plate, radical debridement, and implantation of gentamycin-impregnated cement beads during the first stage. During the second stage, plate fixation was performed and tobramycin-impregnated calcium sulfate (Osteoset T) was used as a bone graft substitute. Neither an autogenous bone graft nor an allograft was used. At 3 years of follow-up, each tibia showed good union, and there was no recurrence of infection. We consider tobramycin-impregnated calcium sulfate to be an alternative method of bone grafting to treat infected tibial nonunion. |
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