| 应用Ilizarov技术Ⅰ期修复伴有皮肤缺损的胫骨创伤性骨髓炎骨缺损 |
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Received:April 07, 2015
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| 作者 | Author | 单位 | Unit | E-Mail |
| 蒋守海 |
JIANG Shou-hai |
徐州仁慈医院骨科, 江苏 徐州 221004 |
Department of Orthopaedics, Renci Hospital, Xuzhou 221004, Jinagsu, China |
jiangshouhai@126.com |
| 邱东新 |
QIU Dong-xin |
徐州仁慈医院骨科, 江苏 徐州 221004 |
Department of Orthopaedics, Renci Hospital, Xuzhou 221004, Jinagsu, China |
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| 董长红 |
DONG Chang-hong |
徐州仁慈医院骨科, 江苏 徐州 221004 |
Department of Orthopaedics, Renci Hospital, Xuzhou 221004, Jinagsu, China |
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| 徐明亮 |
XU Ming-liang |
徐州仁慈医院骨科, 江苏 徐州 221004 |
Department of Orthopaedics, Renci Hospital, Xuzhou 221004, Jinagsu, China |
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| 郝亮 |
HAO Liang |
徐州仁慈医院骨科, 江苏 徐州 221004 |
Department of Orthopaedics, Renci Hospital, Xuzhou 221004, Jinagsu, China |
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| 张冶 |
ZHANG Ye |
徐州仁慈医院骨科, 江苏 徐州 221004 |
Department of Orthopaedics, Renci Hospital, Xuzhou 221004, Jinagsu, China |
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| 周立国 |
ZHOU Li-guo |
徐州仁慈医院骨科, 江苏 徐州 221004 |
Department of Orthopaedics, Renci Hospital, Xuzhou 221004, Jinagsu, China |
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| 夏建军 |
XIA Jian-jun |
徐州仁慈医院骨科, 江苏 徐州 221004 |
Department of Orthopaedics, Renci Hospital, Xuzhou 221004, Jinagsu, China |
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| 彭爱民 |
PENG Ai-min |
北京骨外固定技术研究所, 北京 100069 |
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| 期刊信息：《中国骨伤》2015年28卷，第12期，第1125-1128页 |
| DOI：10.3969/j.issn.1003-0034.2015.12.014 |
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目的:探讨采用Ilizarov技术Ⅰ期治疗伴有皮肤缺损的胫骨创伤性骨髓炎骨缺损的临床疗效。
方法:自2010年6月至2013年12月,采用Ilizarov技术Ⅰ期治疗伴有皮肤缺损的胫骨创伤性骨髓炎骨缺损44例,男35例,女9例;年龄18～70岁,平均42.5岁。骨缺损4～16 cm,皮肤缺损3 cm×4 cm～5 cm×16 cm.手术彻底扩创,切除感染骨段,微创截骨,安装可延长骨段的环形外固定架,应用Ilizarov骨延长技术,术后1周开始转动螺杆上的螺母,每日延长0.5～1.0 mm.观察创面、新生骨痂以及骨段会师后愈合状况,确定临床疗效。
结果:44例患者获得随访,时间11～36个月,平均18.5个月。截骨后骨缺损6～22 cm,平均11.5 cm;伤口愈合时间21～79 d,平均38 d;骨缺损愈合时间8～15 个月,平均12.5个月。所有病例治愈,无感染复发、再骨折及小腿短缩畸形等。
结论:Ilizarov骨段延长技术Ⅰ期治疗伴有皮肤缺损的胫骨创伤性骨髓炎骨缺损,手术创伤小,感染复发率低,可避免多次复杂手术,临床疗效肯定。 |
| [关键词]:Ilizarov技术 胫骨 骨髓炎 创伤和损伤 |
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| Repairing tibial post-traumatic osteomyelitis with bone and skin defect by Ilizarov technique at stageⅠ |
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Abstract:
Objective:To explore clinical effects of Ilizarov technique at stageⅠfor repairing tibial post-traumatic osteomyelitis with bone and skin defect.
Methods:From June 2010 to December 2013,44 patients with tibial post-traumatic osteomyelitis with bone and skin defect were treated with Ilizarov technique at stageⅠ. Among them,there were 35 males and 9 females aged from 18 to 70 years old with an average of 42.5 years old. Bone defect ranged from 4 to 16 cm,skin defect ranged from 3 cm×4 cm to 5 cm×16 cm. The operation was performed debridement thoroughly,removed inflammatory bone section,osteotomy invasively,install circular external fixator by Ilizarow technique;screw nut were rotated at 1 week after operation,and prolonged 0.5 to 1.0 mm everyday. Wound surface,new born callus and bone healing were observed to evaluate clinical effects.
Results:All patients were followed up from 11 to 36 months with an average of 18.5 months. Bone defect after osteotomy was from 6 to 22 cm with an average of 11.5 cm; the time of wound healing time ranged from 21 to 79 d with an average of 38 d; bone defect healing time was from 8 to 15 months with an average of 12.5 months. All patients were cured,no recurrent infection,refracture and shorten of calf deformity were occurred.
Conclusion:Repairing tibial post-traumatic osteomyelitis with bone and skin defect by Ilizarov technique at stageⅠhas advantages of less trauma,low inflammatory recurrence rate,could avoid multiple complex operation,and receive definite curative effect. |
| KEYWORDS:Ilizarov technique Tibia Osteomyelitis Wounds and injuries |
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| 引用本文，请按以下格式著录参考文献： |
| 中文格式: | 蒋守海,邱东新,董长红,徐明亮,郝亮,张冶,周立国,夏建军,彭爱民.应用Ilizarov技术Ⅰ期修复伴有皮肤缺损的胫骨创伤性骨髓炎骨缺损[J].中国骨伤,2015,28(12):1125~1128 |
| 英文格式: | JIANG Shou-hai,QIU Dong-xin,DONG Chang-hong,XU Ming-liang,HAO Liang,ZHANG Ye,ZHOU Li-guo,XIA Jian-jun,PENG Ai-min.Repairing tibial post-traumatic osteomyelitis with bone and skin defect by Ilizarov technique at stageⅠ[J].zhongguo gu shang / China J Orthop Trauma ,2015,28(12):1125~1128 |
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