槽型化开窗联合抗生素骨水泥内置髓内钉治疗沙门菌与枯草杆菌致股骨慢性骨髓炎一例报道
郭光鑫1
姜大帅2
王艳红1
董永东1
管东辉3
李兰山1
韩振学1
魏志腾1
1.261000 山东省,潍坊市中医院创伤骨一科2.261000 山东省,潍坊市中医院关节骨科3.250000 济南,山东中医药大学附属医院创伤骨科
摘要：Objective To introduce the cases of chronic femoral osteomyelitis caused by Salmonella and Bacillus subtilis and share the treatment methods.Methods A 53-year-old male patient was admitted due to redness and swelling pain in the right thigh with elevated body temperature for one week.The limited mobility was observed.A hard lump was palpable on the outer,anterior,and inner sides of the right thigh,with obvious tenderness.The X-ray film showed a large area of density change in the femur,with scallion-like changes in the medullary cavity and uneven thickness of the bone cortex.MRI showed large high signal areas in the femoral marrow cavity,ranging from the proximal femur to the upper part of the knee joint,with edema and abnormal high signal in the surrounding soft tissues of the femur.After relevant examinations,the patient underwent slotted fenestration combined with antibiotic cement intramedullary nailing.Results The patient's body temperature did not rise again after surgery.After routine dressing changes and a gradual decreased drainage flow from the incision,the drainage tube was removed and the internal end of the drainage tube was subjected to bacterial culture.The culture result was negative.The patient was discharge from the hospital when the wound healed and the suture was removed.The patient could walk with the assistance of an assistive device when discharged.Conclusions Grooved fenestration combined with antibiotic bone cement intramedullary nailing has good effects on osteomyelitis,along with complete debridement and low-risk bone strength reduction.
关键词：沙门菌感染枯草芽孢杆菌骨髓炎外科手术
分类号：R681.2(骨科学（运动系疾病、矫形外科学）)
资助基金：山东省自然科学基金(ZR202111280153)
论文发表日期：2024-02-19
在线出版日期：2025-08-15（本平台首次上网日期，不代表文献的发表时间）
页数：3( 142-144 )
英文信息