[1]林昌请 桑莉莉 梁武胜 郑臣校△.骨搬移技术对下肢大段骨缺损的临床疗效研究[J].中国中医骨伤科杂志,2019,27(10):48-53.
 LIN Changqing SANG Lili LIANG Wusheng ZHENG Chenxiao.The Clinical Effect of Ilizarov Technology on Large Bone Defections of Lower Extremities[J].Chinese Journal of Traditional Medical Traumatology & Orthopedics,2019,27(10):48-53.
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骨搬移技术对下肢大段骨缺损的临床疗效研究()
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《中国中医骨伤科杂志》[ISSN:1005-0205/CN:42-1340/R]

卷:
第27卷
期数:
2019年10期
页码:
48-53
栏目:
临床论著
出版日期:
2019-10-10

文章信息/Info

Title:
The Clinical Effect of Ilizarov Technology on Large Bone Defections of Lower Extremities
文章编号:
1005-0205(2019)10-0048-06
作者:
林昌请1 桑莉莉2 梁武胜2 郑臣校2△
1广州中医药大学研究生院(广州,510006) 2中山市中医院
Author(s):
LIN Changqing1 SANG Lili2 LIANG Wusheng2 ZHENG Chenxiao2△
1Graduate School of Guangzhou University of Traditional Chinese Medicine,Guangzhou 510006,China; 2Hospital of Traditional Chinese Medicine of Zhongshan,Zhongshan 528400,Guangdong China.
关键词:
骨缺损 骨搬移 下肢 单边外固定支架
Keywords:
bone defect bone transfer lower limb orthofix
分类号:
R68
文献标志码:
A
摘要:
目的:探究Ilizarov骨搬移技术对下肢大段骨缺损的临床疗效。方法:回顾性分析2015年1月至2015年12月中山市中医院采用Ilizarov骨搬移技术治疗下肢大段骨缺损17例患者的临床资料,根据末次随访Paley和肢体功能评定标准进行临床疗效评定。结果:本组17例资料中2例失访,1例失效,共14例获得35~46个月随访,中位数42个月。14例获得随访的患者均得到骨性愈合,骨延长长度2~18 cm,中位数4.75 cm,软组织缺损得到不同程度修复。末次随访根据Paley和肢体功能评定标准优良率分别为78.57%和85.71%.结论:Ilizarov骨搬移技术是治疗下肢大段骨缺损的有效方法。
Abstract:
Objective:To explore the clinical effect of Ilizarov technology on large bone defections of lower extremities Methods:As a case study of 17 patients,with massive bone defects of lower limbs,who have been treated by Ilizarov technology in our hospital from January 2015 to December 2015 and have been retrospectively analyzed,follow-up statistics and efficacy studies.Clinical efficacy was assessed according to the final follow-up Paley and limb function assessment criteria. Results:Of the 17 patients in the group,2 were lost to follow-up and 1 was ineffective.A total of 14 patients were followed up for 35 to 46 months with a median of 42 months.All the 14 patients who were followed up had bone healing.The length of bone extension was 2-18 cm,the median was 4.75 cm,and the soft tissue defects were repaired to different extents.The excellent follow-up rates of the final follow-up according to Paley and limb function were 78.57% and 85.71%,respectively. Conclusion:Ilizarov technology is an effective ways to treat the patients who suffer from large bone defects of lower limbs.

参考文献/References:

[1] 杨永强,李军,万值颖,等.Ilizarov技术治疗下肢长骨感染性骨缺损[J].中华骨科杂志,2018,38(9):542-548. [2] JAIN A K,SINHA S.Infected nonunion of the long bones[J].Clin Orthop Relat Res,2005,431:57-65. [3] 周子红,冯德宏,徐可林,等.诱导膜技术的手术失误和并发症:44例感染性骨缺损治疗分析[J].中国组织工程研究,2018,22(26):4162-4167. [4] MASQUELET A C,OBERT L.Induced membrane technique for bone defects in the hand and wrist[J].Chirurgie de la Main,2010,29(1):221-224. [5] 李茂华.实用骨科学[M].长春:吉林科学技术出版社,2016:261-265. [6] PALEY D,CAIAGNI M A,ARGNANI F,et al.Ilizarov treatment of tibial nonunions with bone loss[J].Clin Orthop Relat Res,1989,241:146-165. [7] 韩成龙,温洪鹏,黄科,等.Ilizarov重建外固定架结合锁定钢板骨延长术治疗下肢骨缺损临床研究[J].中国伤残医学,2018,26(20):14-15. [8] 张树立,张勇,王景彦,等.应用Ilizarov双段骨搬运技术治疗大段胫骨骨缺损[J].中国中医骨伤科杂志,2018,26(10):60-62. [9] 蒲超,朱红,唐付林,等.应用Ilizarov技术修复胫骨慢性骨髓炎并骨缺损[J].中国骨与关节损伤杂志,2013,28(2):168-169. [10] 高伟,林震迅,镇普祥,等.胫骨横向骨搬移后巨噬细胞促进重度糖尿病足创面的愈合[J].中国组织工程研究,2018,22(36):5811-5815. [11] 蔡善保,孟祥晖.大段骨缺损治疗的研究进展[J].中华创伤杂志,2015,31(4):376-379. [12] 闫秀中,王燕,焦绍锋,等.Ilizarov环形外固定架治疗胫腓骨开放骨折的临床研究[J].中国矫形外科杂志,2017,25(4):321-324. [13] 朱绍瑜,陈华,陈林,等.弹性稳定髓内钉与Ilizarov外固定支架治疗儿童胫骨干骨折的疗效比较[J].中华创伤骨科杂志,2015,17(3):274-276. [14] ILIZAROV G A.Clinical application of the tension stress effect for limb lengthening[J].Clin Orthop,1990,250:8-26. [15] 黄永军,黄东,江奕恒,等.IlizarovIlizarov支架治疗胫骨骨缺损的疗效分析[J].中华创伤骨科杂志,2017,19(7):634-636. [16] 傅德皓.Ilizarov技术治疗胫骨大段感染性骨缺损并发症分析[J].创伤外科杂志,2018,20(7):559-561. [17] 闫厚军,马志国,郭永军,等.清创后同期骨延长术治疗胫骨骨折患者骨不连的临床疗效[J].中国骨与关节杂志,2017,6(12):943-946. [18] QUINNAN S M,LAWRIE C.Optimizing bone defect reconstruction -balanced cable transport with circular external fixation[J].Journal of Orthopaedic Trauma,2017,31(10):E347-E355. [19] YIN P,JI Q,LI T,et al.A Systematic review and meta-analysis of ilizarov methods in the treatment of infected nonunion of tibia and femur[J].PLoS One,2015,10(11):e141973. [20] TSUJIMURA T,KINOSHITA M,ABE M.Response of rabbit skeletal muscle to tibial lengthening[J].Journal of Orthopaedic Science,2006,11(2):185-190. [21] 贺丽英,孙蕴,要文娟,等.2010-2016年中国老年人骨质疏松症患病率Meta分析[J].中国骨质疏松杂志,2016,22(12):1590-1596. [22] 曹建明,刘建敏,王福川,等.Orthofix外固定支架骨搬移技术治疗胫骨骨缺损18例临床研究[J].重庆医学,2015,44(27):3832-3835. [23] 梁强,张锴.牵拉成骨过程中并发症及截骨端骨痂血运情况:多普勒超声监测可行[J].中国组织工程研究,2015,19(20):3226-3230. [24] 徐永清,朱跃良,林玮,等.胫骨截骨骨搬移治疗胫骨大段感染性骨缺损伴软组织缺损[J].中华创伤骨科杂志,2018,20(8):666-670.

备注/Memo

备注/Memo:
基金项目:中山市社会公益科技项目(2018131084)通信作者 E-mail:944614470@qq.com
更新日期/Last Update: 2019-10-10