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使用非血管化腓骨移植进行胫骨重建。

Tibial reconstruction using a non-vascularised fibular transfer.

作者信息

Morsi Elsayed

机构信息

Faculty of Medicine, Menoufia University, 25 Elmohtsb Street, Mohrm Bak, Alexandria, Egypt.

出版信息

Int Orthop. 2002;26(6):377-80. doi: 10.1007/s00264-002-0378-9. Epub 2002 Jul 6.

Abstract

A non-vascularised contralateral fibular transfer was performed on seven patients with non-union of the tibia and a sclerosed segmental bone defect following injury. The average follow-up was 2.7 years with a minimum of 2 years. The operation was successful in achieving fracture union in six patients, with an average time to union of 4.5 months (range: 3-6). Shortening of up to 2.4 cm was found in two patients and mild residual ankle stiffness in one. This procedure is successful and simple when compared to microvascular and Ilizarov techniques.

摘要

对7例胫骨骨折不愈合且伴有损伤后硬化性节段性骨缺损的患者进行了非血管化对侧腓骨移植。平均随访时间为2.7年,最短为2年。6例患者手术成功实现骨折愈合,平均愈合时间为4.5个月(范围:3 - 6个月)。2例患者出现高达2.4 cm的短缩,1例患者存在轻度残留踝关节僵硬。与微血管技术和伊利扎罗夫技术相比,该手术成功且操作简单。

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