摘要
目的探讨Ilizarov技术治疗股骨感染性骨不连、骨缺损的临床疗效及并发症。方法回顾性分析2006年7月至2012年9月我科收治的40例股骨感染性骨不连或骨缺损患者的临床资料。40例患者在彻底清创后截骨并安置Ilizarov环形外固定架,采用骨延长技术治疗骨缺损,观察其疗效及并发症。结果 40例患者随访12~32个月,平均24.5个月;39例获得骨愈合,影像学愈合时间12~26个月,平均15.5个月;术后患者膝关节活动度较术前显著下降（P=0.031）。10例出现部分髋关节活动受限,32例出现双下肢不等长大于1.1 cm,部分出现固定针松动、深部感染、马蹄足畸形、深静脉血栓或出血,10例需进一步行自体松质骨移植。结论 Ilizarov骨延长技术治疗股骨感染性骨不连、骨缺损临床疗效确切,但并发症多。
Objective To explore the clinical outcomes and complications of the Ilizarov technique for the treatment of femoral infectious ununtied fracture and bone defect. Methods A total of 40 patients with femoral infectious ununtied fracture or bone defect were admitted into our department from July 2006 to September 2012. After radical debridement,patients were given osteotomy and Ilizarov external fixation,and distraction osteogenesis were used in the treatment of bone defects. And the clinical effects and complications of the treatment were evaluated. Results All of the patients were followed up for 12 ~ 32 months（ 24. 5 months averagely）. Totally 39 patients of them acquired bone healing,and the mean healing time was 15. 5 months（ 12 ~ 26 months）. The knee joint range of motion of 32 patients were obviously decreased after operation（ P = 0. 031）. There were 10 cases of partial hip joint range of motion decrease,22 cases of leg length discrepancy（ more than 1. 1 cm）,1 case of Iatrogenic vascular injury,and 10 cases required autologous cancellous bone graft. Pin loosening,deep infection,clubfoot deformity,and deep vein thrombosis or bleeding were founded in parts of the patients. Conclusion Ilizarov technique can acquire success in the treatment of femoral infectious ununtied fracture and bone defect,but it has many complications.
出处
《局解手术学杂志》
2016年第7期494-497,共4页
Journal of Regional Anatomy and Operative Surgery
基金
四川省广元市科技局课题(广科知发[2013]38号)
作者简介
[通信作者]黄小俊，E—mail：Hx．1410@163．com
