局解手术学杂志2019，Vol.28Issue(1)：42-45,4.DOI:10.11659/jjssx.07E018117
Ilizarov骨搬运技术治疗Gustilo ⅢB型、C型胫骨大段骨缺损合并软组织缺损的效果分析
Ilizarov technique in treatment of Gustilo type Ⅲ B and C of large tibia bone defect combined with soft tissue defect
摘要
Abstract
Objective To investigate the efficacy of Ilizarov technique in treatment of Gustilo type Ⅲ B and C of large tibia bone defect combined with soft tissue defect. Methods Thirty cases with large tibia bone defect combined with soft tissue defect in our hospital from January 2016 to December 2018 were selected including 25 cases with type Ⅲ B and 5 cases with type Ⅲ C,who were all open tibia fractures and treated with Ilizarov technique. Results All patients were followed up for 10 to 18 months with an average of 15 months. The bone defects were reconstructed, the difference between the length of the affected limb and the healthy side was less than 2 cm. The fracture was healed and the wound was closed. One case was with paralysis of common peroneal nerve and recoveried after 3 months. Twenty-two cases recovered without extra surgery, five cases restored with skin graft and three cases covered the wound by rotating skin flap. Conclusion Ilizarov technique is one of effective ways to treat Gustilo Ⅲ type B and type C of large defect combined with soft tissue defect.关键词
Ilizarov技术/胫骨/骨缺损/软组织缺损/手术Key words
Ilizarov technique/tibia bone/bone defect/soft tissue defect/surgery分类
医药卫生引用本文复制引用
肖卫东,喻爱喜,潘振宇,陶圣祥,胡祥,袁莹,王正..Ilizarov骨搬运技术治疗Gustilo ⅢB型、C型胫骨大段骨缺损合并软组织缺损的效果分析[J].局解手术学杂志,2019,28(1):42-45,4.基金项目
湖北省自然科学基金面上项目(2011CDB516) （2011CDB516）
