DSpace Fukushima Medical University

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


ファイル 記述 サイズフォーマット
FksmJMedSci_62_p83.pdf1.65 MBAdobe PDFダウンロード
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
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)


ファイル 記述 サイズフォーマット
FksmJMedSci_62_p83.pdf1.65 MBAdobe PDFダウンロード



DSpace Software Copyright © 2002-2006 MIT and Hewlett-Packard