STRUCTURAL ALLOGRAFTS FOR RECONSTRUCTION OF LOWER-EXTREMITY OPEN FRACTURES WITH 10 CENTIMETERS OR MORE OF ACUTE SEGMENTAL DEFECTS

被引：25

作者：

CHMELL, MJ ^{[1
]}

MCANDREW, MP ^{[1
]}

THOMAS, R ^{[1
]}

SCHWARTZ, HS ^{[1
]}

机构：

[1] VANDERBILT UNIV,MED CTR,DEPT ORTHOPAED & REHABIL,NASHVILLE,TN 37232

来源：

JOURNAL OF ORTHOPAEDIC TRAUMA | 1995年 / 9卷 / 03期

关键词：

STRUCTURAL ALLOGRAFTS; LOWER EXTREMITY OPEN FRACTURES; ACUTE SEGMENTAL DEFECTS;

D O I：

10.1097/00005131-199506000-00007

中图分类号：

R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学（修复外科学）];

学科分类号：

摘要：

Long-term results on the use of structural allografts (greater than or equal to 10 cm) to reconstruct large skeletal defects sustained during high-energy, open lower extremity fractures have not been reported. Eight patients are retrospectively reviewed at postallograft time periods ranging from 18 to 93 months. Two patients required reoperation for noninfectious causes, and each healed uneventfully. Four individuals developed infectious complications, but only one required complete allograft removal (amputation). The others remain infection free at follow-up. Using any of three different rating systems, excellent functional outcome results from this method of reconstruction in an otherwise exceptionally challenging extremity for limb salvage.

引用

页码：222 / 226

页数：5

共 27 条

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