负压封闭引流术与Ilizarov骨搬运技术治疗创伤性骨髓炎的有效性和安全性对比

doi:10.3969/j.issn.1001-8131.2026.04.002

Abstract
Figure/Table
References
Related Citation (3)

Download: PDF (550 KB) HTML (1 KB)
Export: BibTeX | EndNote (RIS)

Abstract Objective Contrare the efficacy and safety of different surgical modalities for traumatic osteomyelitis. Methods Selected 160 patients with traumatic osteomyelitis admitted to our hospital from June 2024 to June 2025,divided technique,drainage technique,Ilizarov bone handling technique,and negative pressure closed drainage;the changes of inflammatory factors,AOFAS score and Iowa knee score were detected,and the incidence of complications and clinical efficacy were evaluated. Results AOFAS score,and Iowa knee score were higher in the drainage group(P<0.05);TNF- α,CRP levels were decreased,and statistically significant(P<0.05). Conclusion The effect of negative pressure sealing drainage is better than that of Ilizarov bone handling technology,which can effectively reduce the occurrence of complications and promote rapid postoperative recovery.However,fewer pathological samples in this paper are included,which leads to some limitations in the study,and further increasing the sample size is needed to confirm the multi-center study.

Key words： Traumatic osteomyelitis Ilizarov Bone handling technique Negative pressure closure drainage Effectiveness

Received: 01 April 2026

PACS:

R734.2

	Service

	E-mail this article
	Add to my bookshelf
	Add to citation manager
	E-mail Alert
	RSS
	Articles by authors
	Zhang Ya
	Du Tingting

Cite this article:

Zhang Ya,Du Tingting. Efficacy and Safety of Negative Pressure Closed Drainage and Ilizarov Bone Handling Technique for Traumatic Osteomyelitis[J]. journal1, 2026, 46(4): 4-7.

URL:

http://www.hrbyybjb.org.cn/EN/10.3969/j.issn.1001-8131.2026.04.002 OR http://www.hrbyybjb.org.cn/EN/Y2026/V46/I4/4

[1] 陈英华,黄巍峰,韦武,等.膜诱导技术在慢性创伤性骨髓炎中的应用进展[J].中外医疗,2023,42(14):194-198.
[2] 鹿青,潘振华,刘莉,等.基于IKAP模式的个体化护理对慢性创伤性骨髓炎所致骨缺损患者的影响[J].国际护理学杂志,2023,42(12):2212-2216.
[3] 赵行琪,万皓阳,覃汉俊,等.华南地区四肢创伤性骨髓炎患者的临床特征分析[J].中华创伤骨科杂志,2020,22(9):741-745.
[4] Ren Y,Liu L,Sun D,et al.Epidemiological updates of post-traumatic related limb osteomyelitis in china:a 10 years multicentre cohort study[J].Int J Surg.2023,1;109(9):2721-2731.
[5] Ng PJ,Tan TL.A hardy infestation:post-traumatic osteo-myelitis mimicking heterotopic ossification[J].Singapore Med J.2022,63(8):486-487.
[6] Rodham P,Panteli M,Vun JSH,et al.Lower limb post- traumatic osteomyelitis:a systematic review of clinical outcomes[J].Eur J Orthop Surg Traumatol.2023,33(5):1863-1873.
[7] Spuehler D,Fuchs J,Hainich J.Mucor osteomyelitis after traumatic forearm amputation in a 38-year-old patient[J].Case Reports Plast Surg Hand Surg.2023,21;10(1):2259468.
[8] Rodham P,Panteli M,Qin C,et al.Long-term outcomes of lower limb post-traumatic osteomyelitis[J].Eur J Trauma Emerg Surg.2023,49(1):539-549.
[9] 袁佃鹏. 急性创伤性骨髓炎的临床诊断及治疗体会[J].医学信息,2012,25(7):288.
[10] 彭莉,罗秀铭.健康教育联合焦点式心理护理对创伤性骨髓炎患者NRS评分的影响[J].国际护理学杂志,2021,40(6):1035-1037.
[11] 胡曙荣,冯瑞强,容英潮,等.皮瓣覆盖、抗生素骨水泥填充、负压封闭灌注冲洗治疗创伤性骨髓炎并软组织缺损的临床研究[J].国际医药卫生导报,2022,28(2):215-218.
[12] 于晓雯,杨星光,陆男吉,等.自固化磷酸钙人工骨载药治疗创伤性骨髓炎的初步观察[J].中华创伤杂志,2005,21(z1):58-61.
[13] 毕亮. 抗生素骨水泥链珠治疗创伤性骨髓炎患者的临床疗效[J].医疗装备,2020,33(10):51-52.
[14] Mishra PK,Verma VK,Gupta M,et al.Post-traumatic Osteomyelitis of the Rib-point of Care In children,Presenting with chest Wall Pain[J].J Orthop Case Rep.2022,12(11):87-90.
[15] Zhang Z,Zhang C,Guo QF,et al.Single-stage procedures for treatment of traumatic patellar osteomyelitis:A retros-pective study of 21 patients[J].Injury.2022,53(10):3486-3493.
[16] 王卫刚. 诱导膜技术与Ilizarov骨搬运技术治疗创伤性骨髓炎疗效比较[J].实用中西医结合临床,2021,21(14):112-113.
[17] 张磊,陈雨声,王新卫,等.Ilizarov技术近弧形骨块滑移同期治疗创伤性跟骨骨髓炎并缺损畸形[J].中国修复重建外科杂志,2021,35(3):323-329.
[18] Zayzan KR,Yusof NM,Sulong AF,et al.Functional outcome and quality of life following treatment for post-traumatic osteomyelitis of long bones[J].Singapore Med J.2022,63(5):251-255.
[19] 王宏鑫,谢书强,侯建玺,等.Ilizarov技术治疗创伤性指体短缩[J].中华骨与关节外科杂志,2021,14(6):543-547.
[20] 于佳. 抗生素骨水泥联合负压封闭引流术治疗创伤性骨髓炎的效果分析[J].中国伤残医学,2021,29(12):11-13.
[21] 黄冬梅,朱宁,王安妮.负压封闭引流术联合综合护理对骨折创面感染患者的临床效果观察[J].现代医学与健康研究(电子版),2023,7(6):116-118.
[22] 宋小宁. 负压封闭引流术治疗四肢创伤的临床效果[J].智慧健康,2021,7(2):89-90.
[23] 赵洁琼,魏巍,祁智,等.高压氧联合负压封闭引流术治疗慢性伤口23例疗效观察[J].中华航海医学与高气压医学杂志,2022,29(5):640-643.
[24] 牛云飞,季胤俊,徐敏,等.负压封闭引流术在骨科感染创面中的应用效果[J].现代医学与健康研究(电子版),2021,5(18):141-144.
[25] Tsunoda T,Yasuda T,Igaki R,et al.Post-traumatic Aeromonas hydrophila Osteomyelitis caused by an Infected Gustilo-Anderson Grade 3B Tibial Fracture:A Case Report with a 7-year Follow-up[J].J Orthop Case Rep.2023,13(7):41-46.