Schultz J H, Wolter D, Ortel G, Fink B
Abteilung für Unfall- und Wiederherstellungschirurgie, Berufsgenossenschaftliches Unfallkrankenhaus Hamburg.
Unfallchirurg. 1992 Nov;95(11):537-40.
From May 1990 to March 1992 17 open and 6 closed fractures of tibia and fibula with second- to third-degree soft tissue injuries were treated by external fixation using the Ilisarov technique. In 14 patients this external fixation was used as the primary treatment. In nine cases it was used secondarily, mainly in patients transferred after stabilization with other internal or external devices. The mean duration of fixation for diaphyseal tibial fractures was 127 days and for metaphyseal fractures, 107 days. After removal of the fixation device, a brace was temporarily fitted for full weight-bearing. Disadvantages observed include less comfort for the patient and longer operation time compared to other external fixation systems. On the other hand, this method allows full weight-bearing soon after the operation and involves minimal damage of soft tissue. Furthermore, injured soft tissue was well protected during healing.
1990年5月至1992年3月，采用伊里扎洛夫技术进行外固定治疗了17例开放性和6例闭合性胫腓骨骨折，伴有二度至三度软组织损伤。14例患者将这种外固定作为主要治疗方法。9例患者是二次使用，主要是在用其他内固定或外固定器械稳定病情后转来的患者。胫骨干骨折的平均固定时间为127天，干骺端骨折为107天。拆除固定装置后，临时佩戴支具以进行完全负重。观察到的缺点包括与其他外固定系统相比患者舒适度较低以及手术时间较长。另一方面，这种方法允许术后很快进行完全负重，并且对软组织的损伤最小。此外，在愈合过程中受伤的软组织得到了很好的保护。
