期刊文献+

Ilizarov外固定“手风琴技术”治疗成人股骨骨不连 被引量:8

Ilizarov frame fixation “accordion technique” for adult aseptic femoral nonunion
原文传递
导出
摘要 [目的]探讨Ilizarov外固定"手风琴技术"治疗成人股骨无菌性骨不连的临床疗效。[方法]2012年7月~2017年1月,采用Ilizarov环形外固定缓慢牵伸-加压的"手风琴技术"治疗成人股骨无菌性骨不连11例。其中男7例,女4例,年龄24~47岁,平均(37.10±7.60)岁。患肢短缩>2.5 cm者术中结合股骨近端闭合截骨加装骨延长组件,备术后肢体延长。采用Paley骨不连评价标准进行评价。[结果]11例患者获得随访,随访时间24~49个月,平均(27.47±6.70)个月。所有骨不连均临床骨性愈合,愈合时间6.00~24.70个月,平均(10.20±9.42)个月。采用Paley骨不连评价标准,优5例、良5例、可1例,优良率90.91%(10/11)。末次随访>7°局部畸形2例(7°、10°矢状位畸形),不影响功能,未作特殊处理。1例术后肢体短缩3.1cm。针道感染发生率72.73%(8/11),通过换药及更换固定针等控制,10°以上膝关节活动丢失3例,未发生再骨折、深部感染和血管神经损伤等并发症。[结论]Ilizarov外固定"手风琴技术"依据张力-应力法则,避免了植骨,规律牵伸-再加压治疗成人股骨无菌性骨不连疗效可靠。 [Objective]To evaluate the outcomes of patients with femoral shaft nonunion treated by Ilizarov frame fixation"accordion technique".[Methods]We studied 11 consecutive patients with adult femoral nonunion:7 male and 4 female with an average age of(37.10±7.60)years(range,24~47 years).Closed subtrochanteric osteotomy and bone lengthening module were required in the patients with limb shortening>2.5 cm.All patients were evaluated by Paley nonunion evaluation criteria.[Results]All 11 patients were followed up.The mean postoperative follow-up was(27.47±6.70)months(range,24~49 months).Bony union was achieved in all 11 cases after a mean of(10.20±9.42)months(range,6.00~24.70 months).According to Paley nonunion healing score,5 cases were excellent,5 were good and 1 were fair,yielding an excellent to good rate of 90.91%(10/11).There were 2 local femoral shaft malformations beyond 7°(7°and 10°sagittal malformation),1 case with limb shortening by 3.1 cm,8 superficial pin tract infections and 3 cases with Loss of knee motion above 10°.No complications such as deep infection and vascular nerve injury occurred.[Conclusion]Ilizarov circular frame fixation"accordion technique",based on the principle of"law of tension-stress"in the way of cyclic compression and distraction without bone graft is a reliable method for the treatment of aseptic femoral shaft nonunion.
作者 郭保逢 赵巍 徐执扬 吴鸿飞 陈蕾 秦泗河 GUO Bao-feng;ZHAO Wei;XU Zhi-yang;WU Hong-fei;CHEN Lei;QIN Si-he(Department of Orthopaedics,Beijing Chui Yang Liu Hospital,Beijing,100022,China;Department of Orthopaedics,Rehabilitation Hospital of the National Research Center for Rehabilitation Technical Aids,Beijing,100072,China)
出处 《中国矫形外科杂志》 CAS CSCD 北大核心 2020年第3期267-270,共4页 Orthopedic Journal of China
关键词 Ilizarov方法 手风琴技术 股骨干骨折 无菌性骨不连 Ilizarov method accordion technique femoral shaft fracture aseptic nonunion
  • 相关文献

参考文献4

二级参考文献25

  • 1李刚,秦泗河.牵拉成骨技术的基础研究进展与带给骨科的启示[J].中华外科杂志,2005,43(8):540-543. 被引量:78
  • 2秦泗河.Ilizarov技术概述[J].中华骨科杂志,2006,26(9):642-645. 被引量:209
  • 3Rozbruch SR, Weitzman AM, Watson JT, et al. Simultaneous treatment of tibial bone and soft-tissue defects with the Ilizarov method. J Orthop Trauma, 2006, 20: 197-205.
  • 4Ilizarov GA. Transosseous osteosynthesis. Berlin, Heidelberg, London: Springer, 1992.
  • 5Saleh and Rees. Bifocal surgery for deformity and bone loss-bone transport and compression distraction compared. J Bone Joint Surg (Br), 1995, 77: 429-434.
  • 6De Bastiani G, Aldegheri R, Renzi Brivio L, et al. Limb lengthening by callus distraction (callostasis) . J Paediatr Orthop, 1987, 7: 129-134.
  • 7Paley D, Catagin MA, Argnani F, et al. Ilizarov treatment of tibialnon- unions with bone loss[ J]. Clin Orthop, 1989,241 (241) :146 -165.
  • 8Forsberg JA, Potter BK, Cierny G 3~, et al. Diagnosis and manage- ment of chronic infection I J]. J Am Acad Orthop Surg, 2011,19 (Suppl 1) :8 -19.
  • 9Robert RS, Weitzman AM, Tracey WJ, et al. Simuhaneous treatment of tibial bone and soft- tissue defects with the Ilizarov method [ J ]. J Orthop Trauma,2006,20 (3) : 197 - 205.
  • 10Barker KL, Lamb SE, Simpson AH. Functional recovery in patients with nonunion treated with the Ilizarov technique [ J ]. J Bone Joint Surg Br,2004,86( 1 ) :81 - 85.

共引文献96

同被引文献125

引证文献8

二级引证文献33

相关作者

内容加载中请稍等...

相关机构

内容加载中请稍等...

相关主题

内容加载中请稍等...

浏览历史

内容加载中请稍等...
;
使用帮助 返回顶部