| Ilizarov骨搬移技术轴向偏移的临床观察 |
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Received:November 20, 2014
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| 作者 | Author | 单位 | Unit | E-Mail |
| 王景双 |
WANG Jing-shuang |
河北省沧州中西医结合医院, 河北 沧州 061001 |
Cangzhou Combination of Chinese Traditional and Western Medicine Hospital, Cangzhou 061001, Hebei, China |
jingshuang1979@sohu.com |
| 胡思斌 |
HU Si-bin |
河北省沧州中西医结合医院, 河北 沧州 061001 |
Cangzhou Combination of Chinese Traditional and Western Medicine Hospital, Cangzhou 061001, Hebei, China |
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| 孙宏辉 |
SUN Hong-hui |
河北省沧州中西医结合医院, 河北 沧州 061001 |
Cangzhou Combination of Chinese Traditional and Western Medicine Hospital, Cangzhou 061001, Hebei, China |
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| 郑继会 |
ZHENG Ji-hui |
河北省沧州中西医结合医院, 河北 沧州 061001 |
Cangzhou Combination of Chinese Traditional and Western Medicine Hospital, Cangzhou 061001, Hebei, China |
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| 赵均福 |
ZHAO Jun-fu |
河北省沧州中西医结合医院, 河北 沧州 061001 |
Cangzhou Combination of Chinese Traditional and Western Medicine Hospital, Cangzhou 061001, Hebei, China |
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| 刘道阔 |
LIU Dao-kuo |
河北省沧州中西医结合医院, 河北 沧州 061001 |
Cangzhou Combination of Chinese Traditional and Western Medicine Hospital, Cangzhou 061001, Hebei, China |
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| 林亮 |
LIN Liang |
河北省沧州中西医结合医院, 河北 沧州 061001 |
Cangzhou Combination of Chinese Traditional and Western Medicine Hospital, Cangzhou 061001, Hebei, China |
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| 邓海峰 |
DENG Hai-feng |
河北省沧州中西医结合医院, 河北 沧州 061001 |
Cangzhou Combination of Chinese Traditional and Western Medicine Hospital, Cangzhou 061001, Hebei, China |
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| 张永波 |
ZHANG Yong-bo |
河北省沧州中西医结合医院, 河北 沧州 061001 |
Cangzhou Combination of Chinese Traditional and Western Medicine Hospital, Cangzhou 061001, Hebei, China |
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| 期刊信息：《中国骨伤》2016年29卷，第1期，第73-76页 |
| DOI：10.3969/j.issn.1003-0034.2016.01.016 |
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目的:探讨Iliazrov骨搬移技术治疗骨不连出现轴向偏移的角度、发生率、原因及对策。
方法:自2007年1月至2012年12月,对10例骨不连患者行Ilizarov骨搬移技术治疗,其中男8例,女2例;年龄18～49岁,平均(30.3±10.6 )岁。骨缺损部位:胫骨上段2例,胫骨中段2例,胫骨下段5例,股骨上段1例。根据Paley骨缺损分型:B1型6例,B3型4例。观察术后患者发生轴向偏移角度、发生率,并采用Paley评价标准对其骨性结果进行评价。
结果:10例患者术后均获得随访,时间19～32个月,平均(22.0±5.6)个月。3例患者对合端自然愈合,其余7例经植骨相应处理后愈合。佩戴外固定架时间16～28个月,末次随访时发生冠状位成角3例,成角度数5°～11°,平均(8.7±3.2)°;矢状位成角4例,成角6°～9°,平均(8.5±2.1)°。发生轴向偏移共4例。末次随访时Paley评价标准,骨性
结果:优7例,良3例;功能
结果:优6例,良4例。
结论:轴向偏移在Ilizarov骨搬移术后较常见,造成骨愈合延迟及患肢力线不良,术中术后应采取相应措施避免或减少其发生以提高骨愈合率。 |
| [关键词]:Ilizarov技术 骨搬移 轴向偏移 外固定器 |
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| Clinical observation of axial offset after treatment by Ilizarov bone transport technology |
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Abstract:
Objective:To observe the incidence,causes and deviation angle of axial offset in patients with fracture ununited treated by Ilizarov bone transport technology.
Methods:From January 2007 to December 2012,10 patients with fracture ununited were treated by Ilizarov bone transport including 8 males and 2 females with an average age of (30.3±10.6) years old ranging from 18 to 49 years old. The segment of bone defect involved upper tibial in 2 cases,medial tibia in 2 cases,lower tibial in 5 cases,upper femoral in 1 case. For Paley type of bone defect,6 cases were type B1,4 cases were B3. The incidence and deviation angle of axial offset after Ilizarov bone transport technology were observed and evaluated on bone result by Paley assessment.
Results:All patients were followed up from 19 to 32 months with an average of (22.0±5.6) months. Three cases were natural healed at fracture ends,the other 7 cases were healed after bone graft. The time of external fixator was 16 to 28 months. At the last follow-up,there were 3 cases occurred coronal angulation of angle 5° to 11 ° with an average of (8.7±3.2)°。 Sagittal angulation was in 4 cases,angle 6° to 9° with an average of (8.5±2.1)°。 There were 4 cases occurred axial offset. In the last follow-up,according to Paley evaluation criteria,osseous results were excellent in 7 cases,good in 3 cases;functional results were excellent in 6 cases,good in 4 cases.
Conclusion:Axial deviation after the Ilizarov bone transport treatment is relatively common,which will result in delayed healing of bone and poor limb alignment. In order to improve the bone healing,corresponding measurements should be taken to avoid or reduce the incidence of axial deviation during and after the operation. |
| KEYWORDS:Ilizarov technique Bone transport Axial offset External fixators |
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| 引用本文，请按以下格式著录参考文献： |
| 中文格式: | 王景双,胡思斌,孙宏辉,郑继会,赵均福,刘道阔,林亮,邓海峰,张永波.Ilizarov骨搬移技术轴向偏移的临床观察[J].中国骨伤,2016,29(1):73~76 |
| 英文格式: | WANG Jing-shuang,HU Si-bin,SUN Hong-hui,ZHENG Ji-hui,ZHAO Jun-fu,LIU Dao-kuo,LIN Liang,DENG Hai-feng,ZHANG Yong-bo.Clinical observation of axial offset after treatment by Ilizarov bone transport technology[J].zhongguo gu shang / China J Orthop Trauma ,2016,29(1):73~76 |
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