Ilizarov骨搬移术治疗胫骨感染性骨缺损  

Ilizarov Technique for Treatment of Infected Tibia Bone Defect

作　　者：董帅[1] 蔡喜雨[1] 

机构地区：[1]郑州大学第一附属医院骨科,河南郑州450052

出　　处：《中国继续医学教育》2016年第24期107-108,共2页China Continuing Medical Education

摘　　要：目的 探讨Ilizarov骨搬移技术治疗胫骨骨折术后感染性骨缺损临床疗效。方法 选择2012年5月~2015年5月采用骨搬移技术治疗胫骨骨折术后感染性大段骨缺损的患者17例。男11例,女6例,平均年龄（32±1.4）岁。Ⅰ期清创后17例患者胫骨缺损长度均〉5 cm,Ⅱ期行骨搬移。结果 17例患者获随访12~26个月,平均（15±0.7）个月。17例患者截骨延长长度为5~13 cm。5例断端Ⅰ期愈合,12例行断端清理植骨术后顺利愈合。结论 Ilizarov骨搬移技术是治疗胫骨感染性骨缺损的有效方法。Objective To explore the clinical effect of Ilizarov technique in infected tibia defect.Methods 17 cases of tibial fracture surgery infection segmental defects were chosen from May 2012 to May 2015 and used bone transport technique in the treatment. 11 males and 6 females, mean age was （32±1.4） years. After phaseⅠ debridement in 17 patients with bone defect lengths were〉5 cm, phaseⅡ was given bone transport.Results17 patients were followed up for 12 to 26 months, the mean time was （15±0.7） months. 17 patients osteotomy extend the length was 5 ~ 13cm. 5 cases Ⅰhealed stump, stump clean up bone grafting in 12 cases healed.Conclusion Ilizarov technique is effective in the treatment of infected tibia bone defect.

关 键 词：骨搬移 胫骨骨折 骨缺损 

分 类 号：R683[医药卫生—骨科学]