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福島県立医科大学学術成果リポジトリ = Fukushima Medical University Repository >
福島医学会 = The Fukushima Society of Medical Science >
Fukushima Journal of Medical Science >
Vol.62 (2016) >
このアイテムの引用には次の識別子を使用してください:
http://ir.fmu.ac.jp/dspace/handle/123456789/532
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| タイトル: | Surgical treatment options for septic non-union of the tibia: two staged operation, Flow-through anastomosis of FVFG, and continuous local intraarterial infusion of heparin |
| 著者: | Kawakami, Ryoichi
Ejiri, Soichi
Hakozaki, Michiyuki
Hatashita, Satoshi
Sasaki, Nobuyuki
Kobayashi, Yoshitaka
Takahashi, Yoko
Konno, Shin-Ichi |
| 学内所属: | 整形外科学講座 |
| 誌名/書名: | Fukushima Journal of Medical Science |
| 巻: | 62 |
| 号: | 2 |
| 開始ページ: | 83 |
| 終了ページ: | 89 |
| 発行日: | 2016年 |
| 抄録: | Background : The treatment of septic non-union of the tibia is a challenging area. The objective of this clinical study was to improve the treatment outcomes in patients with a highly active infection by the three strategies consisting of a two-staged operation, a flow-through technique for vascular anastomosis of a free vascularized fibular graft (FVFG), and continuous local intra-arterial infusion of heparin. Patients & Method : Five patients with septic non-union of the tibia who were treated with an FVFG (mean age: 52.8 years) were enrolled. The mean postoperative follow-up period was 47.2 months, and the mean length of the bone defect was 111 mm. A two-staged operation, in which polymethylmethacrylate (PMMA) beads containing antibiotics were inserted into a bone defect followed by bone reconstruction performed with an FVFG later. Vascular anastomosis was performed with the flow-through technique in all patients. Immediately after FVFG, heparin was continuously infused through a femoral arterial catheter for 1 week. Result : Bone union was confirmed an average of 18.8 weeks after-surgery in all patients without reoperation for thrombus. Conclusion : Our attempt to apply the strategies appears to be a viable treatment option for septic non-union of the tibia. |
| 出版者: | The Fukushima Society of Medical Science |
| 出版者（異表記）: | 福島医学会 |
| 本文の言語: | eng |
| このページのURI: | http://ir.fmu.ac.jp/dspace/handle/123456789/532 |
| 本文URL: | http://ir.fmu.ac.jp/dspace/bitstream/123456789/532/1/FksmJMedSci_62_p83.pdf |
| ISSN: | 0016-2590
2185-4610 |
| DOI: | 10.5387/fms.2016-5 |
| PubMed番号: | 27477992 |
| 関連ページ: | http://doi.org/10.5387/fms.2016-5 |
| 権利情報: | © 2016 The Fukushima Society of Medical Science |
| 出現コレクション: | Vol.62 (2016)
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