本文關(guān)鍵詞： 骨缺損 骨髓炎 Ilizarov技術(shù) 脛骨　出處：《實用骨科雜志》2016年04期 　論文類型：期刊論文

【摘要】：目的探討應(yīng)用Ilizarov骨搬移技術(shù)治療脛骨創(chuàng)傷性骨髓炎大段骨缺損的臨床療效。方法回顧性分析2010年6月至2014年9月在我科收治15例脛骨創(chuàng)傷性骨髓炎患者,其中男11例,女4例;年齡17~60歲,平均39.3歲。交通事故傷9例,重物壓砸傷4例,高處墜落傷2例。根據(jù)Cierny-Mader解剖學(xué)分型:Ⅲ型6例,Ⅳ型9例。采用病灶骨段切除、Ilizarov骨搬移技術(shù)治療,并記錄骨段延長長度、外固定架時間、骨愈合及功能評價結(jié)果。結(jié)果 15例患者均獲隨訪,隨訪時間18~40個月,末次隨訪時,骨缺損均得以重建。骨缺損長度6~13 cm,平均8.6 cm。外固定架固定時間為8.4~16.5個月,平均11.2個月。術(shù)后無一例出現(xiàn)深部感染、骨不連或關(guān)節(jié)僵直。根據(jù)改良ASAMI評定標準評定骨性結(jié)果:優(yōu)12例,良1例,中1例,差1例,優(yōu)良率為87.3%;功能結(jié)果:優(yōu)10例,良2例,中3例,差0例,優(yōu)良率為80.0%。結(jié)論應(yīng)用Ilizarov骨搬移技術(shù)是治療脛骨創(chuàng)傷性骨髓炎大段骨缺損的有效方法。
[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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