IRRIGATION USING SIDE-HOLE DOUBLE VALVE LAVAGE TUBE FOR ORTHOPAEDIC POSTOPERATIVE INFECTION IN 126 CASES_Chinese Journal of Reparative and Reconstructive Surgery

Authors：

YANG Zuoming , DAI Shifeng , ZHANG Yanrui , WEI Yaheng.

Department of Orthopaedics, the Second Hospital of Tangshan, Orthopaedic Hospital Affiliated to Hebei United University, Tangshan Hebei, 063000, P.R.China.;

Corresponding author：

Keywords：

Orthopaedic postoperative infection; Lavage; Complication

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Objective To develope a modified surgical lavage tube to improve the efficacy of the treatment of orthopaedic postoperative infection. Methods A retrospective analysis was performed on 126 patients who received the pulsed lavage therapy with side-hole double valve lavage tube between March 2005 and March 2010. There were 98 males and
28 females, aged 19-63 years (mean, 35 years). The infected sites included femur in 61 cases, tibiofibula in 46 cases, humerus in 12 cases, and patella in 7 cases. The lavage tube obstruction and defluvium, secondary infection of drainage opening, and wound heal ing were observed during treatment. Results No lavage tube defluvium occured during the lavage in all cases. Lavage tube obstruction occurred in 68 cases, edema at the peri pheral tissue was caused by obstruction in 9 cases; secondary infection at the lavage and drainage opening in 10 cases, which were cured after corresponding treatment. All cases achieved wound healing by first intention within 2 weeks. Lavage tube and drainage opening were closed within 1 month. All patients were followed up 1-5 years (mean, 18 months) with no recurrence. Conclusion Pulsed lavage therapy with side-hole double valve lavage tube can obviously improve the efficacy of the treatment of orthopaedic postoperative infection, so it is an effective modification to convention lavage.

Citation： YANG Zuoming,DAI Shifeng,ZHANG Yanrui,WEI Yaheng.. IRRIGATION USING SIDE-HOLE DOUBLE VALVE LAVAGE TUBE FOR ORTHOPAEDIC POSTOPERATIVE INFECTION IN 126 CASES. Chinese Journal of Reparative and Reconstructive Surgery, 2012, 26(6): 691-694. doi: Copy

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11.	杨佐明, 刘晓明, 戴士峰, 等. 胫腓骨骨折术后感染的治疗分析. 中国修复重建外科杂志, 2011, 25(9): 1151-1152.
12.	杨平林, 贺西京, 李浩鹏, 等. 清创术后持续灌洗加负压封闭吸引引流治疗顽固性软组织及骨与关节感染的临床应用. 中国骨伤, 2010, 23(1): 1-4.
13.	王兴义, 王伟, 王兴国, 等. 骨髓炎死骨原位再植治疗股骨感染性骨不连. 中国矫形外科杂志. 2008, 16(13): 992-995.
14.	孟庆丰, 李娅. 骨髓炎病灶置管灌洗方法的改进. 骨与关节损伤杂志, 2000, 15(6): 440-440.
15.	刘玉杰, 林峰, 李众利, 等. 病灶清除、灌洗及外固定架治疗四肢骨折感染不愈合16例. 中华创伤杂志, 2000, 16(8): 504-505.
16.	高雷, 李宇能, 张伯松, 等. 抗生素药珠植入术和闭合灌洗引流术治疗骨髓炎疗效对比. 山东医药, 2010, 50(28): 76-77.
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18.	林晓毅, 游戊己, 袁华澄, 等. 灌洗引流法治疗慢性骨髓炎灌洗量及灌洗速度的控制. 中国骨与关节损伤杂志, 2010, 25(11): 1037-1038.

1. 黎明. 连续灌洗法治疗急性化脓性骨髓炎疗效分析. 中华临床医学杂志, 2004, 5(8): 81.
2. 郜书峰, 邢文钊, 刘长城, 等. 置管闭式冲洗结合中医辨证治疗慢性骨髓炎40例. 河北中医, 2010, 32(5): 713-714.
3. Schinsky MF, Della Valle CJ, Sporer SM, et al. Perioperative testing for joint infection in patients undergoing revision total hip arthroplasty. J Bone Joint Surg (Am), 2008, 90(9): 1869-1875.
4. 杨佐明, 刘德群, 戴士峰, 等. 病灶清除加双贯通管灌洗术治疗股骨术后感染76例. 中华创伤杂志, 2010, 26(4): 306-308.
5. 王兴国, 王伟, 王兴义, 等. 应用 Ilizarov 技术一期治疗合并皮肤缺损的胫骨感染性骨缺损. 中国骨伤, 2010, 23(6): 422-425.
6. Helgeson MD, Potter BK, Tucker CJ, et al. Antibiotic-impregnated calcium sulfate use in combat-related open fractures. Orthopedics, 2009, 32(5): 323.
7. 唐辉, 徐永清, 李刚, 等. 庆大霉素阳离子脂质体同种异体骨治疗兔慢性骨髓炎的实验研究. 中国修复重建外科杂志, 2010, 24(4): 482-486.
8. 丁凡, 邵增务, 吴宏斌. 外固定器结合封闭负压引流技术治疗胫腓骨骨折术后感染. 中国矫形外科杂志, 2010, 18(8): 645-648.
9. Motsitsi NS. Management of infected nonunion of long bones: the last decade (1996-2006). Injury, 2008, 39 (2): 155-160.
10. Labler L, Trentz O. The use of vacuum assisted closure (VACTM) in soft tissue injuries after high energy pelvic trauma. Langenbecks Arch Surg, 2007, 392(5): 601-609.
11. 杨佐明, 刘晓明, 戴士峰, 等. 胫腓骨骨折术后感染的治疗分析. 中国修复重建外科杂志, 2011, 25(9): 1151-1152.
12. 杨平林, 贺西京, 李浩鹏, 等. 清创术后持续灌洗加负压封闭吸引引流治疗顽固性软组织及骨与关节感染的临床应用. 中国骨伤, 2010, 23(1): 1-4.
13. 王兴义, 王伟, 王兴国, 等. 骨髓炎死骨原位再植治疗股骨感染性骨不连. 中国矫形外科杂志. 2008, 16(13): 992-995.
14. 孟庆丰, 李娅. 骨髓炎病灶置管灌洗方法的改进. 骨与关节损伤杂志, 2000, 15(6): 440-440.
15. 刘玉杰, 林峰, 李众利, 等. 病灶清除、灌洗及外固定架治疗四肢骨折感染不愈合16例. 中华创伤杂志, 2000, 16(8): 504-505.
16. 高雷, 李宇能, 张伯松, 等. 抗生素药珠植入术和闭合灌洗引流术治疗骨髓炎疗效对比. 山东医药, 2010, 50(28): 76-77.
17. Anglen JO. Comparison of soap and antibiotic solutions for irrigation of lower-limb open fracture wounds. A prospective, random ized study. J Bone Joint Surg (Am), 2005, 87(7): 1415-1422.
18. 林晓毅, 游戊己, 袁华澄, 等. 灌洗引流法治疗慢性骨髓炎灌洗量及灌洗速度的控制. 中国骨与关节损伤杂志, 2010, 25(11): 1037-1038.

Chinese Journal of Reparative and Reconstructive Surgery

IRRIGATION USING SIDE-HOLE DOUBLE VALVE LAVAGE TUBE FOR ORTHOPAEDIC POSTOPERATIVE INFECTION IN 126 CASES

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