摘要
目的：探讨外伤性胫骨缺损，行一次性手术治疗效果与措施。方法：切开软组织，骨端切成新鲜创面。根据骨端形状切成‘Ｚ’形或横形，前者用２ 枚皮质螺丝钉固定，后者利用外固定架固定。胫骨近干骺端截断骨皮质。截骨处两则和胫骨骨缺损远侧分别穿Φ３ ．５ ｍ ｍ 骨圆针，放置外固定架，术后缓慢延长。结果：所有６ 例病人胫骨缺损均得到治愈。平均随访时间２０ 个月（６ ～３６ 个月） ，骨延长３ ～４ ．５ｃｍ ，骨愈合时间４ ～６ 个月。结论：本方法治疗外伤性胫骨缺损，方法简便、创伤小、不需植骨、疗效可靠，值得推广应用。
Objective: To determine the effect of single operation for the treatment of traumatic defect of tibia.Methods:Cut the surrounding soft tissue down to the bone and the bone ends were remodeled and made into ‘Z’shape or transverse type according to its shape with the former fixed by two cortical screws and the latter immobilized by external fixation device.Then the corticotomy were made at the site of proximal metaphysis of the tibia,after then,limb lengthening started slowly every day.Results:Average follow up time were 20 months(6～36months).All six patients were cured by lengthening tibia 3～4.5 centimeters without other complication except for one case of slightly pinhole infection.The adjacent joints of lengthened part of limb had almost normal function.Conclusion:This kind of method is a simple,less traumatic,non bone graft,and effective way,and is worth to be recommended.
出处
《中国矫形外科杂志》
CAS
CSCD
2000年第1期38-39,共2页
Orthopedic Journal of China
关键词
骨缺损
肢体延长
胫骨
治疗
Defect of bone Limb lengthening Tibia
