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[采用伊里扎洛夫方法治疗的胫骨假关节]

[Pseudarthrosis of the tibia treated by the Ilizarov method].

作者信息

Cibo S

机构信息

Ortopedska klinika, Klinicki centar Sarajevo.

出版信息

Med Arh. 1992;46(3-4):57-61.

PMID:1364514
Abstract

21 (50%) patients suffering on pseudoarthrosis tibia were treated by ilizarov method, from total of 42 discussed in the paper. The ilizarov method in combination with Judet method was used with 21 patients (50.0%) suffering on pseudoarthrosis tibia. Plastic procedures were performed with 12 (28.6%) covering the skin and soft tissues defects, while 10 (23.8) by myocutal lobes. The non-infectious hypertrophic pseudoarthrosis cases were treated only by ilizarov method 14 (33.3%), while the atrophic ones (39.1%) by ilizarov Judet and spondioplastics. Prior infected contact pseudoarthrosis was performed with 9 (64.3%), 6 (66.6%) only by the ilizarov method, while 3 (33.3%) by ilizarov, Judet and spongioplastics were performed with 3 cases (60.0%), while 2 (40.0%) lifting graft. Healing cases (92.9%), but we did not with 3 cases (7.1%). An average time of treatment was three weeks and joints rehabilitation lasted 7 weeks.

摘要

在本文讨论的42例胫骨假关节患者中,21例(50%)采用伊里扎洛夫方法治疗。21例(50.0%)胫骨假关节患者采用伊里扎洛夫方法联合朱代方法治疗。12例(28.6%)进行了整形手术,用于覆盖皮肤和软组织缺损,而10例(23.8%)采用肌皮瓣。14例(33.3%)非感染性肥厚性假关节病例仅采用伊里扎洛夫方法治疗,而萎缩性假关节病例(39.1%)采用伊里扎洛夫-朱代方法和椎体成形术治疗。9例(64.3%)先前感染的接触性假关节病例,6例(66.6%)仅采用伊里扎洛夫方法治疗,而3例(33.3%)采用伊里扎洛夫、朱代方法和海绵状骨成形术治疗,3例(60.0%)同时进行2例(40.0%)植骨提升。愈合病例为92.9%,但有3例(7.1%)未愈合。平均治疗时间为3周,关节康复持续7周。

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