摘要
目的:探讨应用IV型镶嵌式外固定器治疗下肢长骨骨缺损的临床疗效。方法:1996年4月～2008年4月应用IV型镶嵌式外固定器治疗下肢长骨骨缺损48例患者,其中股骨8例,胫骨40例。骨缺损长度为5～15cm,平均8cm。随访时间9-27个月,平均18个月。结果:48例患者肢体长度均得到恢复;骨缺损达到骨性愈合,平均愈合时间8.2个月;6例骨折成角,均<10°;12例共25处针孔感染;所有病例无神经血管损伤表现,髋、膝、踝关节活动均未受影响。结论:IV型镶嵌式外固定器是治疗长骨复杂骨缺损、成功重建肢体长度的有效方法。
Objective：To explore clinical outcome of the treatment of bone defects of femurs and tibias with the type Ⅳ inlaying external fixators.Methods：A total of 48 cases of bone defects in lower limbs,of whom 8 in femurs and 40 in tibias,were treated with type Ⅳ inlaying external fixators in our hospital from the April 1996 to the April 2008.The length of bone defects ranged from 5cm to 15cm（average length was 8cm）.The average period of follow-up was 18（9 to 27） months.Results：All of the patients obtained restore of the length of their limbs,and all the defects achieved bony union in an average time of 8.2months.Postoperative complications included angulation deformities in 6 sides（〈10°） and superficial infections of 25 pin sites in 12 cases.There were no signs of vascular and nerve injury.Activities of hips,knees and ankles are unaffected.Conclusion：The application of type Ⅳ inlaying external fixators,which can restore limb length,proved to be a reliable method to treat complicated bone defects of lower limbs.
出处
《现代生物医学进展》
CAS
2010年第10期1951-1953,共3页
Progress in Modern Biomedicine
关键词
外固定器
骨生成
牵张
骨延长术
External Fixators
Osteogenesis
Distraction
Bone Lengthening
