摘要目的 探讨清创后I期颗粒状自体松质骨移植治疗感染性骨不连的疗效.方法 1999至2005年,对南京军区南京总医院骨科38例感染性骨不连患者采用清创后I期颗粒状自体松质骨移植方法进行治疗.结果 平均随访44个月(12～93个月),38例患者中,33例(86.8%)获得骨愈合、感染消灭,5例(13.2%)患者感染复发和(或)再不连(其中1例感染伴再不连).2例患者拆除外固定支架后发生再骨折.结论 清创后I期颗粒状自体松质骨移植治疗感染性骨不连可以获得较高的感染治愈率及骨愈合率.

abstractsObjective To investigate the curative effect of treating infected nonunion with debridement and granulated caneellous bone autograffing in a one-stage procedure.Methods Between 1999 and 2005,38 cases of infected nonunion were treated with immediate granulated cancellous bone autografting after debridement.Results At a mean follow-up of 44months(range:12 to 93),33/38(86.8%)had an excellent outcome,5(13.2%)developed infectious recurrent and/or persistent nonunion(1 case with infectious recurrence and persistent nonunion).Two patients suffered refractttre after removing external fixator.Conclusion The success rate of treating infected nonunion with debridement and granulated cancellous bone autografting in one-stage is high.