摘要
Abstract
Objective:To study the surgical selection of traumatic tibia tubular bone defect of different clinical classification.Mte h-ods:85 cases of patients with traumatic tibia tubular bone defect and admitted into the hospital during May 2012 to August 2014 were se-lected as the research objects.According to the length of the tibia tubular bone defect, they were divided into three clinical classification groups:39 cases of type I (4-6cm), 25 cases of type II (6-9cm)and 21 cases of type III ( >9cm)., monosegment osteotomy tele-port, double-segment osteotomy transport and ipsilateral vascularized fibula grafts in Ilizarov technique combined with Ilizarov external fixator fixation surgical therapy were performed respectively in the three groups.The bone healing time, the time with external fixation and the degree indexes of limb function recovery after operation in the three groups of different clinical classification were observed.The cura-tive effect of surgical treatment of different clinical classification was analyzed.Results:The three groups of different clinical classification achieved significant efficacy.The time of type I bone healing was the longest which was 9.4 months while of type III was 5.6 months which was the shortest.The fixation time of Ilizarov external fixator in type II was the shortest which was 10.5months while in type III was the longest which was 181. months.After operation, the function recovery of the diseased limbs in the three groups reached the normal levels. Because the three groups of different clinical classification were different in the pathogenetic condition, the number of cases,the choice of surgical operation, they can not be statistically compared.Conclus ion:The curative effect of hree kinds of surgical treatment for treating traumatic tibia tubular bone defect of different clinical classification was significant, which was of significant clinical value.关键词
创伤性胫骨骨缺损/临床分型/Ilizarov技术Key words
Traumatic tibia bone defect/Clinical classification/Ilizarov technique分类
医药卫生
