局解手术学杂志2016，Vol.25Issue(7)：494-496,497,4.DOI:10.11659/jjssx.12E015205
Ilizarov 技术治疗股骨感染性骨不连或骨缺损
Ilizarov technique for the treatment of femoral infectious ununtied fracture and bone defect
摘要
Abstract
Objective To explore the clinical outcomes and complications of the Ilizarov technique for the treatment of femoral infec-tious ununtied fracture and bone defect.Methods A total of 40 patients with femoral infectious ununtied fracture or bone defect were admit-ted into our department from July 2006 to September 2012.After radical debridement,patients were given osteotomy and Ilizarov external fix-ation,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 infec-tion,clubfoot deformity,and deep vein thrombosis or bleeding were founded in parts of the patients.Conclusion Ilizarov technique can ac-quire success in the treatment of femoral infectious ununtied fracture and bone defect,but it has many complications.关键词
Ilizarov 技术/股骨/感染性骨不连/骨缺损Key words
Ilizarov technique/femur/infectious ununtied fracture/bone defect分类
医药卫生引用本文复制引用
黄小俊,薛健康,张膗瑞,陈天健..Ilizarov 技术治疗股骨感染性骨不连或骨缺损[J].局解手术学杂志,2016,25(7):494-496,497,4.基金项目
四川省广元市科技局课题 （）
