Smrke D, Arnez Z M
Laboratory for Biomedical Engineering at the Department of Surgery, University Medical Centre, Zaloska 7, SI-1000, Ljubljana, Slovenia.
Injury. 2000 Apr;31(3):153-62. doi: 10.1016/s0020-1383(99)00253-3.
Twenty patients with extensive bone and soft tissue defects and posttraumatic osteomyelitis were treated between 1983 and 1995. In all cases an external fixator was used for bone fixation. Bone defects were managed with the Ilizarov intercalary bone transport. Two types of traction were used: the Ilizarov type and a 'new' Ljubljana type. The results of treatment were compared between the two types of traction. In all cases delayed bony union was observed. Osteomyelitis never reactivated. All patients were satisfied with treatment. They were all independent except for one amputee. The Ljubljana traction method was found to have the following advantages: no discrepancy in leg length, no orthopaedic support was needed, the aesthetic outcome was better, the traction time was reduced and there was less soft tissue damage during bone traction.
1983年至1995年间，对20例存在广泛骨与软组织缺损及创伤后骨髓炎的患者进行了治疗。所有病例均使用外固定器进行骨固定。骨缺损采用伊里扎洛夫（Ilizarov）骨段延长术处理。使用了两种牵引方式：伊里扎洛夫式和一种“新型”卢布尔雅那式。对两种牵引方式的治疗结果进行了比较。所有病例均观察到延迟骨愈合。骨髓炎从未复发。所有患者对治疗都很满意。除一名截肢患者外，其余患者均能独立生活。发现卢布尔雅那牵引法具有以下优点：下肢长度无差异，无需矫形支撑，美观效果更好，牵引时间缩短，骨牵引过程中软组织损伤更小。
