Zehi K, Karray S, Fathallah M, Bouguira A, Zouari O, Litaiem T, Douik M, Sliman N
Institut National d'Orthopédie MT Kassab, La Manouba, Tunisie.
Rev Chir Orthop Reparatrice Appar Mot. 1999 Jun;85(3):231-7.
The aim of this study was to emphasize the importance of the distraction osteogenesis technique in the treatment of post-osteomyelitis nonunion. We report 12 cases.
Mean patient age was 9.5 years. There were 7 cases of nonunion of the femur and 5 involving the tibia. Nonunion was associated with 5.9 cm shortening in 10 cases, 8.4 cm circumferential bone defect in 1 case, shortening and bone defects in 6 cases, and shortening and joint deformities in 2 cases.
Consolidation was obtained in 11 cases with an average delay of 11.6 months. Infection was eradicated in 75 per cent of the cases. Average residual shortening was 0.4 cm. Joint deformities and axial deviations were corrected at the same time in all cases.
The advantages of the Ilizarov technique are well known for the treatment of such deformities and musculoskeletal system disorders subsequent to osteomyelitis: nonunion, infection, shortening, joint deformities and malunion.
本研究旨在强调牵张成骨技术在治疗骨髓炎后骨不连中的重要性。我们报告了12例病例。
患者平均年龄为9.5岁。股骨骨不连7例，胫骨骨不连5例。10例骨不连伴有5.9厘米的短缩，1例伴有8.4厘米的环形骨缺损，6例伴有短缩和骨缺损，2例伴有短缩和关节畸形。
11例获得骨愈合，平均延迟11.6个月。75%的病例感染得到根除。平均残余短缩为0.4厘米。所有病例的关节畸形和轴向偏差均同时得到纠正。
伊利扎洛夫技术在治疗骨髓炎后的此类畸形和肌肉骨骼系统疾病（如骨不连、感染、短缩、关节畸形和畸形愈合）方面的优势是众所周知的。
