Sahibzada Ahmad Sohail, Khan Muhammd Ayaz, Khan Muhammad Shoaib
Department of Orthopaedic and Trauma, Ayub Medical College & Hospital Complex Abbottabad.
J Ayub Med Coll Abbottabad. 2005 Jul-Sep;17(3):68-72.
Bone defect in long bones is a problem in orthopaedic which needs proper treatment to restore limb length and function of the limb. There are various treatment modalities available to fill the detect like bone grafting, vascularised bone graft, allograft and bone transport through fixators (Ring or Uniplanner). This study was done to determine the outcome of locally manufactured External Fixator (Naseer and Awais ) in the management of tibial bone defect due to trauma.
This descriptive study was conducted on 20 patients in orthopedic department in Lady Reading Hospital Peshawar and Ayub Teaching Hospital Abbottabad, from Nov 1997 to Nov 2002. Patients from either gender aged between 20 to 50 years, having tibial bone defect of more than five centimeter due to trauma were included in the study. Follow up was done for two years. Outcome measures were adopted according to the classification of the Association for the Study and Application of the Method of llizarov (ASAMI) based on clinical (functional) and radiological findings (defect filling).
Out of 20 patients 14 (70%) were males and 6 (30%) were female patients. Right tibia was involved in 12 patients (60%) and left tibia in 8 patients (40%). Bony defects due to firearm injury were in 14 patients (70%) and road traffic accidents were in 6 patients (30%). Radiological (bony) results were excellent in 12 patients (60%), good in 2 patients (10%), fair in 3 patients (15%) and poor in 3 patients (15%). Clinical (functional) results were excellent in 7 patients (35%), good in 8 patients (40%), fair in 4 patients (20%,) and poor in 1 patients (5%,). Post operative complications after distraction osteogenesis were pin tract infections in 8 patients (40%), Axial deviations in 6 patients (30%), foot equinus in 4 patients (20%) and refracture in 1 patient (5%).
Uniplanner locally manufactured (NASEER & AWAIS) External Fixator for distraction osteogenesis is cheap, easy to apply and gives excellent and comparable results in tibial bone defects.
长骨骨缺损是骨科领域的一个问题，需要适当治疗以恢复肢体长度和肢体功能。有多种治疗方式可用于填补缺损，如骨移植、带血管骨移植、同种异体骨移植以及通过固定器（环形或单边）进行骨搬运。本研究旨在确定本地制造的外固定器（纳赛尔和阿维斯）在治疗创伤性胫骨骨缺损中的效果。
本描述性研究于1997年11月至2002年11月在白沙瓦雷丁夫人医院和阿伯塔巴德阿尤布教学医院的骨科对20例患者进行。纳入研究的患者年龄在20至50岁之间，因创伤导致胫骨骨缺损超过5厘米，男女不限。随访两年。根据伊利扎罗夫方法研究与应用协会（ASAMI）的分类，基于临床（功能）和放射学检查结果（缺损填充）采用结果测量方法。
20例患者中，14例（70%）为男性，6例（30%）为女性。右侧胫骨受累12例（60%），左侧胫骨受累8例（40%）。14例（70%）患者因火器伤导致骨缺损，6例（30%）患者因道路交通事故导致骨缺损。放射学（骨）结果为优的有12例（60%），良的有2例（10%），可的有3例（15%），差的有3例（15%）。临床（功能）结果为优的有7例（35%），良的有8例（40%），可的有4例（20%），差的有1例（5%）。牵张成骨术后的术后并发症包括8例（40%）针道感染、6例（30%）轴向偏差、4例（20%）马蹄足和1例（5%）再骨折。
本地制造的（纳赛尔和阿维斯）单边外固定器用于牵张成骨价格便宜、易于应用，在胫骨骨缺损治疗中能取得优异且相当的效果。
