摘要
目的:探讨Masquelet技术结合腓骨植骨治疗胫骨骨缺损的疗效。方法:2014年1月至2017年5月我院诊治的胫骨骨缺损12例患者。均采用Masquelet技术:首次手术彻底清除病灶周围不利组织,骨水泥填充缺损区,外固定支架固定;术后8周取出骨水泥,打通髓腔,以自体腓骨插入远近两端髓腔,颗粒植骨填充缺损间隙,接骨板固定。结果:术后随访12~26个月,切口均甲级愈合;所有患者均获骨愈合,临床愈合时间3~5个月;末次随访Paley疗效评定:优9例,良2例,可1例,优良率为91.7%;均可负重行走,无疼痛和畸形。结论:Masquelet技术结合腓骨植骨是治疗胫骨骨缺损的有效方法。
Objective:To explore the clinical effect of the Masquelet technique combined with fibular grafting in curing tibial bone defect.Methods:Twelve patients with tibial defect were treated with Masquelet technique.The first step involved radical removal of scar tissue and dead bone,after which a polymethylmethacrylate cement spacer was implanted at the site of the bone defect,external fixation.In stageⅡ,the cement spacer was removed,the autologous fibula was inserted into the medullary cavities at both ends,autogenous cancellous bone was implanted around it to fill the gap,and the fracture ends were fixed with bone plates.Results:The follow-up period was 12-26 months.All fractures were clinically healed,and the healing time was 3-5 months.The functional recovery of adjacent joints was evaluated according to the method of Paley,with an excellent and good rate of 91.7%.No perioperative complications occurred.Conclusion:Masquelet technique combined with fibular grafting to treatment tibia bone defect has the advantages of simplicity,limited complications,and a high rate of healing.
作者
倪曲波
杨旭
李景峰
王建平
NI Qubo;YANG Xu;LI Jingfeng;WANG Jianping(Dept.of Orthopaedic Surgery,Zhongnan Hospital of Wuhan University,Wuhan 430071,Hubei,China)
出处
《武汉大学学报（医学版）》
CAS
2020年第4期629-632,共4页
Medical Journal of Wuhan University
基金
国家自然科学基金青年项目(编号:81803275)
湖北省自然科学基金资助项目(编号:2017CFB792)
