Orthofix单边外固定支架治疗胫骨骨缺损的疗效分析  

Unilateral Orthofix external fixation for tibial defects

作　　者：黄永军[1] 黄东[1] 江奕恒[1] 吴伟炽[1] 林浩[1] 刘晓春[1] 

机构地区：[1]广东省第二人民医院创伤外科,广州510317

出　　处：《中华创伤骨科杂志》2017年第7期634-636,共3页Chinese Journal of Orthopaedic Trauma

基　　金：广东省科技计划项目（2016A020215124）

摘　　要：目的探讨Orthofix单边外固定支架骨搬运技术治疗胫骨骨缺损的临床疗效。方法回顾性分析2012年6月至2016年2月采用Orthofix单边外固定支架治疗的19例胫骨骨缺损患者资料。男14例，女5例；年龄26～79岁，平均43．0岁；右侧12例，左侧7例。软组织缺损面积平均6．4cm×3．7cm。骨搬运前骨缺损长度平均8．9cm。术后定期复查胫骨正、侧位X线片，末次随访时根据Edwards胫骨骨折疗效评定系统评定患肢功能情况及并发症发生情况。结果所有患者术后获10～40个月（平均18．5个月）随访。骨性愈合时间为4～16个月（平均9．0个月），骨段搬运长度6～10cm，平均7．8cm，所有患者骨缺损均获重建。末次随访时根据Edwards胫骨骨折疗效评定系统评定疗效：优10例，良6例，差3例。4例患者出现一定程度的并发症。结论Orthofix单边外固定支架骨搬运技术在治疗胫骨骨缺损方面具有较好的治疗效果，值得推广。Objective To explore the curative effects of unilateral Orthofix external fixation in the treatment of tibial defects. Methods From June 2012 to February 2016, we treated 19 patients with tibial defects using unilateral Orthofix external fixation. They were 14 men and 5 women, aged from 26 to 79 years （mean, 43.0 years） . The right tibia was involved in 12 cases and the left tibia in 7. The soft tissue defects averaged 6.4 cm x 3.7 em. The mean bone defect before bone transport was 8.9 cm in length. The anteroposterior and lateral X-ray films of the affected tibia were taken regularly after surgery. Edwards tibial fracture scores were used to evaluate the functional recovery and complications of the affected limb at final follow-ups. Results All the patients were followed up for 10 to 40 months （average, 18.5 months）. Bone union time ranged from 4 to 16 months （average, 9.0 months）. Lengths of bone transport ranged from 6 to 10 cm （average, 7.8 em）. All the bone defects were reconstructed. According to the Edwards scoring at the final follow-ups, 10 cases were rated as excellent, 6 as good and 3 as poor. Complications were observed in 4 cases, giving a complication rate of 2 I. 1%. Conclusion Unilateral Orthofix external fixation and bone transport can lead to preferable curative effects in the management of tibial defects.

关 键 词：胫骨 骨缺损 外固定器 骨搬运技术 

分 类 号：R687.3[医药卫生—骨科学]