Abstract：
UNLABELLED:The treatment of 30 consecutive adult patients with chronic draining osteomyelitis of the tibia was reviewed. There were four treatment patterns. Eight patients had local debridement with or without soft tissue coverage procedures or bone graft. Three patients had radical debridement and bone transport using a circular frame. Eight patients were treated by the Papineau grafting technique after debridement. Eleven patients had debridement and circular frame fixation to correct associated nonunion, malunion, or shortening. All patients received long-term antibiotic therapy. At an average of 6 years' followup (minimum, 2 years), two patients had persistent drainage and one patient had an aseptic nonunion. This experience affirms the value of the circular frame, of the Papineau graft, of bone transport, and of long-term antibiotics for treatment of chronic osteomyelitis of the tibia. There was successful limb salvage in all of the patients and successful treatment (fracture healing without drainage) in 27 of 30 patients. LEVEL OF EVIDENCE:Therapeutic study, Level III-1 (case-control study). See the Guidelines for Authors for a complete description of levels of evidence.
journal_name
Clin Orthop Relat Resjournal_title
Clinical orthopaedics and related researchauthors
Beals RK,Bryant REdoi
10.1097/01.blo.0000150462.41498.fesubject
Has Abstractpub_date
2005-04-01 00:00:00pages
212-7issue
433eissn
0009-921Xissn
1528-1132pii
00003086-200504000-00033pub_type
杂志文章abstract：:A prospective study ascertained the effect of lateral retinacular release and/or excision of the infrapatellar fat pad on patellar vascularity after total knee arthroplasty. Fifty patients (70 knees) had postoperative technetium bone scans, which revealed a higher incidence of vascular compromise of the patella after ...
journal_title：Clinical orthopaedics and related research
pub_type： 杂志文章
doi：
更新日期：1990-11-01 00:00:00
abstract：:One option for dealing with considerable femoral bone deficiency at revision surgery is the use of extensively porous coated cobalt-chrome cylindrical stems. This technique has been shown to be a reliable, technically straightforward method that can be applied to all but the most severe femoral structural defects. Ver...
journal_title：Clinical orthopaedics and related research
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doi：10.1097/01.blo.0000150274.21573.f4
更新日期：2004-12-01 00:00:00
abstract：:The initial care of the patient with blunt polytrauma involves a systematic search for causes of hemodynamic instability. Bleeding most often occurs in the pleural space, peritoneal cavity, and retroperitoneum. Orthopaedic injuries also can contribute to instability after blunt trauma. Blood loss from open fractures m...
journal_title：Clinical orthopaedics and related research
pub_type： 杂志文章,评审
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abstract：:The management of premature physeal arrest requires accurate assessment of not only the location but also the extent of the bar. Numerous imaging techniques are available to evaluate the physis. Multiplanar tomography has proven to be the most precise method. The utility of magnetic resonance imaging (MRI) of physeal ...
journal_title：Clinical orthopaedics and related research
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journal_title：Clinical orthopaedics and related research
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更新日期：1976-09-01 00:00:00
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journal_title：Clinical orthopaedics and related research
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journal_title：Clinical orthopaedics and related research
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更新日期：1988-11-01 00:00:00
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journal_title：Clinical orthopaedics and related research
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更新日期：1993-10-01 00:00:00
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journal_title：Clinical orthopaedics and related research
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更新日期：1992-10-01 00:00:00
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journal_title：Clinical orthopaedics and related research
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journal_title：Clinical orthopaedics and related research
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journal_title：Clinical orthopaedics and related research
pub_type： 杂志文章,评审
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更新日期：1998-08-01 00:00:00
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journal_title：Clinical orthopaedics and related research
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更新日期：2004-08-01 00:00:00
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journal_title：Clinical orthopaedics and related research
pub_type： 杂志文章
doi：
更新日期：1978-01-01 00:00:00
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journal_title：Clinical orthopaedics and related research
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doi：
更新日期：1986-06-01 00:00:00
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journal_title：Clinical orthopaedics and related research
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doi：
更新日期：1994-04-01 00:00:00
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journal_title：Clinical orthopaedics and related research
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doi：
更新日期：1986-03-01 00:00:00
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journal_title：Clinical orthopaedics and related research
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journal_title：Clinical orthopaedics and related research
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journal_title：Clinical orthopaedics and related research
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更新日期：2005-10-01 00:00:00
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journal_title：Clinical orthopaedics and related research
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journal_title：Clinical orthopaedics and related research
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doi：
更新日期：1992-08-01 00:00:00
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更新日期：2007-09-01 00:00:00
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journal_title：Clinical orthopaedics and related research
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更新日期：1990-11-01 00:00:00
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journal_title：Clinical orthopaedics and related research
pub_type： 杂志文章
doi：10.1007/s11999-014-3934-x
更新日期：2015-02-01 00:00:00
