置管引流结合Ilizarov技术治疗胫骨开放骨折术后骨不连  

Treatment of postoperative nonunion of tibial open fracture with tube drainage combined with Ilizarov technique

作　　者：崔庆元[1] 王金华[1] 顾志明[1] 孙旭东[1] 沈祥[1] 吴文娟 CUI Qing-yuan;WANG Jin-hua;GU Zhi-ming;SUN Xu-dong;SHEN Xiang;WU Wen-juan(Dept of Traumatic Orthopaedics,the People′s Hospital of Ma′anshan City,Ma′anshan,Anhui 243000,China)

机构地区：[1]马鞍山市人民医院创伤骨科,安徽马鞍山243000

出　　处：《临床骨科杂志》2020年第4期580-583,共4页Journal of Clinical Orthopaedics

摘　　要：目的探讨置管引流结合Ilizarov技术治疗胫骨开放骨折术后骨不连的疗效。方法采用置管引流结合Ilizarov技术治疗18例胫骨开放骨折术后骨不连患者。骨搬运完成9个月后根据Paley评价标准评估疗效。结果患者均获得随访,时间10~56个月。骨折均愈合,外固定支架携带时间10~18个月,携带支架期间患者均可以正常行走。骨搬运完成9个月后根据Paley评价标准评估疗效:优10例,良7例,可1例。结论置管引流结合Ilizarov技术治疗胫骨开放骨折术后骨不连效果显著,可以促进骨折愈合,恢复下肢功能。Objective To explore the treatment effect of postoperative nonunion of tibial open fracture treated with tube drainage combined with Ilizarov technique.Methods The 18 cases of postoperative nonunion of tibial open fracture were treated by tube drainage combined with Ilizarov technique.Paley evaluation system was used to evaluate the effect at 9 months after bone transport.Results All the patients were followed up for 10~56 months.All 18 patients finally achieved healing with external fixator for 10~18 months.The patients could walk normally with external fixator.According to Paley evaluation system at 9 months after bone transport,10 cases were excellent,7 cases were good,and 1 fair.Conclusions Tube drainage combined with Ilizarov technique are effective in treatment of postoperative nonunion of tibial open fracture,which can promote fracture healing and restore lower extremity function.

关 键 词：ILIZAROV技术 胫骨开放性骨折 骨不连 置管引流 

分 类 号：R683.42[医药卫生—骨科学] R687.3[医药卫生—外科学]