Ilizarov技术在我国创伤骨科中的应用  

Application of Ilizarov technology in trauma orthopedics in China's Mainland

作　　者：郭保逢[1] 秦泗河 Guo Baofeng;Qin Sihe(Department of Orthopedics,Beijing Chui Yang Liu Hospital,Beijing 100022,China;Department of Orthopedics,Rehabilitation Hospital of National Research Center for Rehabilitation Technical Aids,Beijing 100176,China)

机构地区：[1]北京市垂杨柳医院矫形骨科,100022 [2]国家康复辅具研究中心附属康复医院矫形骨科,北京100176

出　　处：《中华创伤杂志》2020年第5期393-398,共6页Chinese Journal of Trauma

摘　　要：苏联骨科医师伊利扎罗夫发明了能组装成800多种构型的环形外固定器,创立了与西方经典骨科不同的全新微创外固定技术体系,被国际学界称为Ilizarov技术。该技术的理论基础是模仿自然,通过体外控制与转化生命运动的应力,治愈复杂创伤性骨折、骨与软组织缺损、感染与肢体的严重畸形,能挽救一些濒危截肢严重复合创伤与四肢残缺。该技术在理论指导、手术指征、医疗模式与术后管理等方面,不同于现代的创伤骨科的骨折内固定(AO)技术,能够以最微创甚至无血的手术方式实现骨折的复位固定。体外控制骨的生长,不仅能完成创伤骨科大部分骨折的固定要求,而且可以在不植骨和不丢失骨长度情况下解决骨不连、骨缺损、四肢软组织缺损和伴发畸形等复杂问题。Ilizarov技术引入中国已30余年,由于诸多原因该技术在我国骨科的传播应用仍不够广泛深入。现将Ilizarov技术在我国创伤骨科领域的应用做一阐述,供国内骨科同道了解认识该技术的价值。The Soviet Union orthopedic doctor Ilizarov invented the ring external fixator which could be assembled into more than 800 configurations,and created a new minimally invasive external fixation technology system called Ilizarov technology which was different from the western classical orthopedic technique.The theoretical basis of this technique is to imitate nature,by controlling and transforming the stress of life movement in vitro,to cure the complex trauma fracture,bone and soft tissue defect,infection and severe deformity of limbs,and to save some endangered amputation complex trauma and limb deformity.From theoretical guidance,surgical indications,medical models and postoperative management,it differs from the modern technique of internal fixation(AO)fracture treatment theory in trauma orthopedics.It can achieve fracture reduction and fixation by the most minimally invasive or even bloodless operation,and control bone growth in vitro.It can not only complete the fixation requirements of most fractures in trauma orthopedics,but also solve complex problems such as bone nonunion,bone defect,soft tissue defect of limbs and associated malformation without bone graft and loss of bone length.Ilizarov technology was introduced into China mainland for more than 30 years,but the application of this technology in the field of orthopaedics in China is still not extensively spreaded because of many reasons,In this article,the authors review the application of Ilizarov technology in the field of trauma orthopedics in China for domestic Orthopaedic surgeon to better understand this technology.

关 键 词：伊利扎罗夫技术 中国 创伤骨科 

分 类 号：R687.3[医药卫生—骨科学]