title: [One-stage bone grafting combined with non-contact plate technique for treatment of post-traumatic femoral osteomyelitis and bone defects].
abstract: Eight patients with femoral osteomyelitis were admitted in Lanzhou General Hospital of PLA between July 2012 and July 2015. During the operation the femur was fixed with non-contact locking plate after thorough debridement. Iliac morselized cancellous bones without cortical bone were filled in the bone defect after debridement. The locking plates were placed in the lateral subcutaneous interface superficial to the vastus lateralis muscle. Drainage tubes were routinely placed postoperatively. The surgery was completed successfully in all patients, and the average operation time was (130±10) min (120-150 min). Intravenous antibiotics were administrated for 2 weeks and followed by 4 week-oral antibiotics after the operation in all 8 cases. Drainage tubes remained in situ about 8 days. All patients were followed up for 12-48 months, with an average of (19±7) months. Postoperative X-ray examination showed bone union in 7 cases with an average healing time of (16±5) weeks. One patient failed with relapsed infection, and was later treated with Ilizarov apparatus after secondary debridement. No plate and screw fracture, loose and fixation failure were observed in all 8 cases.
authors.affiliation: Orthopaedic Trauma of Orthopaedics Center, Lanzhou General Hospital of PLA, Lanzhou 730050, China.
authors.forename: Qiuming
authors.initials: Q
authors.lastname: Gao
authors.affiliation: Orthopaedic Trauma of Orthopaedics Center, Lanzhou General Hospital of PLA, Lanzhou 730050, China.
authors.forename: Yun
authors.initials: Y
authors.lastname: Xue
authors.affiliation: Orthopaedic Trauma of Orthopaedics Center, Lanzhou General Hospital of PLA, Lanzhou 730050, China.
authors.forename: Yinshuan
authors.initials: Y
authors.lastname: Deng
authors.affiliation: Orthopaedic Trauma of Orthopaedics Center, Lanzhou General Hospital of PLA, Lanzhou 730050, China.
authors.forename: Shungang
authors.initials: S
authors.lastname: Zhou
authors.affiliation: Orthopaedic Trauma of Orthopaedics Center, Lanzhou General Hospital of PLA, Lanzhou 730050, China.
authors.forename: Meng
authors.initials: M
authors.lastname: Li
authors.affiliation: Orthopaedic Trauma of Orthopaedics Center, Lanzhou General Hospital of PLA, Lanzhou 730050, China.
authors.forename: Peisheng
authors.initials: P
authors.lastname: Shi
mesh_terms: D000900:Anti-Bacterial Agents / Q000008:administration & dosage / Q000627:therapeutic use; D001860:Bone Plates / Q000145:classification; D016025:Bone Transplantation / Q000295:instrumentation* / Q000379:methods*; D004322:Drainage / Q000379:methods; D005269:Femur / Q000637:transplantation*; D017102:Fracture Healing; D050723:Fractures, Bone / Q000188:drug therapy / Q000601:surgery*; D006801:Humans; D007085:Ilium / Q000637:transplantation; D010019:Osteomyelitis / Q000188:drug therapy / Q000601:surgery*; D052097:Quadriceps Muscle / Q000601:surgery; D017211:Treatment Failure; D016896:Treatment Outcome
chemical_list: D000900:Anti-Bacterial Agents