Atkins R M, Sudhakar J E, Porteous A J
University Department of Orthopaedics, Bristol Royal Infirmary, UK.
Injury. 1998 Sep;29(7):535-7. doi: 10.1016/s0020-1383(98)00128-4.
We present a series of three patients with segmental, high energy open tibial fractures with bone loss (2-7 cm), where we have used distraction through a fracture site to replace lost bone. The open fracture was treated by debridement and shortening to eliminate the bone and soft tissue defect. Limb length was restored by distraction instituted through the closed segmental fracture. The length of regenerate formed at the fracture site ranged from 10 to 30 mm. In each case, bone formation at the distracted fracture site was satisfactory and times for regenerate consolidation were similar to those seen in standard corticotomies. These findings suggest that new bone will form in distraction reliably from high-energy fracture sites.
我们报告了3例节段性、高能量开放性胫骨骨折伴骨缺损（2 - 7厘米）的患者，我们通过骨折部位的牵张来替代缺失的骨组织。开放性骨折通过清创和缩短来消除骨与软组织缺损。通过闭合节段性骨折处的牵张来恢复肢体长度。骨折部位形成的再生骨长度在10至30毫米之间。在每种情况下，牵张骨折部位的骨形成情况令人满意，再生骨巩固时间与标准皮质切开术所见相似。这些发现表明，高能量骨折部位通过牵张能可靠地形成新骨。
