摘要
目的探讨胫骨严重感染合并大块骨缺损有效治疗方法.方法总结1992-2003年38例胫骨严重感染性大段骨缺损的治疗方法.所有病例均采用病灶彻底清除,半环槽式或环开槽式外固定器加压固定骨断端,同期或一期行干骺小切口截骨延长术,在骨断端加压固定的同时或骨不连愈合后,重建肢体长度.结果38例胫骨严重感染合并大块骨缺损与骨不连伤口感染得到有效控制,最终均达到骨性愈合.骨愈合时间3-8个月,平均4.9个月,拆除外固定架时间3～10个月,平均5.8个月.25例同期、13例二期重建了肢体长度,达到了肢体长度均衡,平均延长4.2cm,愈合指数36d/cm.结论采用改进外固定器技术治疗严重感染合并大块骨缺损与骨不连,能有效促进感染与骨缺损的愈合,同期或二期干骺端小切口截骨延长有效重建了肢体长度,达到肢体长度的均衡.
Objective To evaluate the improved llizarov technique in extemal skeletal fixation treatment of serious infection with large bone defect. Methords From 1992 to 2003,38 cases were treated with radical debridement and compressive external fixator and followed by lengthening to restore the leg length. Results Infections in 38 cases were eradicated. The massive bone defects and non - unions were healed eventually. Bone union time was 3 - 8months （ average 4.9 months）. External skeletal fixators were removed 3 - 10 months（ average 5, 8 months）. One stage leg lengthening were performed in 25 cases and two stages were in 13 cases. Conclusions Using the improved external skeletal fixation technique to treat serious infected bone defect is effective. The infective sites healed after radical deridement and fixation. The leg length was restored by lengthening at the same time of surgery or late operations. There were no leg discrepancies.
出处
《中国骨肿瘤骨病》
2005年第2期84-86,共3页
Chinse Journal Of Bone Tumor And Bone Disease
