Ilizarov骨搬移技术修复胫骨创伤性骨髓炎大段骨缺损

发布时间：2018-01-24 08:01

  本文关键词： 骨缺损 骨髓炎 Ilizarov技术 胫骨　出处：《实用骨科杂志》2016年04期 　论文类型：期刊论文

【摘要】：目的探讨应用Ilizarov骨搬移技术治疗胫骨创伤性骨髓炎大段骨缺损的临床疗效。方法回顾性分析2010年6月至2014年9月在我科收治15例胫骨创伤性骨髓炎患者,其中男11例,女4例;年龄17~60岁,平均39.3岁。交通事故伤9例,重物压砸伤4例,高处坠落伤2例。根据Cierny-Mader解剖学分型:Ⅲ型6例,Ⅳ型9例。采用病灶骨段切除、Ilizarov骨搬移技术治疗,并记录骨段延长长度、外固定架时间、骨愈合及功能评价结果。结果 15例患者均获随访,随访时间18~40个月,末次随访时,骨缺损均得以重建。骨缺损长度6~13 cm,平均8.6 cm。外固定架固定时间为8.4~16.5个月,平均11.2个月。术后无一例出现深部感染、骨不连或关节僵直。根据改良ASAMI评定标准评定骨性结果:优12例,良1例,中1例,差1例,优良率为87.3%;功能结果:优10例,良2例,中3例,差0例,优良率为80.0%。结论应用Ilizarov骨搬移技术是治疗胫骨创伤性骨髓炎大段骨缺损的有效方法。
[Abstract]:Objective to investigate the clinical effect of Ilizarov bone transfer technique in the treatment of large segment bone defect of traumatic osteomyelitis of tibia. Methods from June 2010 to September 2014, 15 cases were treated in our department. A patient with traumatic osteomyelitis of the tibia. There were 11 males and 4 females; The average age was 39.3 years old. There were 9 cases of traffic accident injury, 4 cases of heavy object crush injury and 2 cases of falling injury. According to Cierny-Mader anatomical classification, 6 cases were type 鈪，

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