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[在使用G. A. 伊里扎洛夫方法进行刚性假关节的牵张成骨术时,骨生成的放射学指征在策略选择中的意义]

[Significance of roentgenologic indications of osteogenesis in the choice of tactics in distraction osteosynthesis using G. A. Ilizarov's method in rigid pseudarthrosis].

作者信息

Giul'nazarova S V, Kazak L A, Mashinskaia T M

出版信息

Ortop Travmatol Protez. 1991 Sep(9):21-4.

PMID:1780138
Abstract

On the basis of 274 observations the authors stated the conception of staged roentgenologic course of the osseous tissue regeneration in case of close distraction of rigid false joints according to G. A. Ilizarov. In line with visual appraisal of roentgenograms there were used roentgenometry and densitometry. There are described in details the stages of reparative regeneration and in accordance with them are given the tactical recommendation as to the selection of the distraction rate and its duration, the terms of loading and immobilization of fractures by means of perosseous apparatus. The tactics of the patient control with regard to the peculiarities of osteogenesis in the process of distraction allowed to decrease the number of failures in treatment of false joints by 2 times.

摘要

基于274例观察结果,作者阐述了根据G. A. 伊里扎洛夫方法,在僵硬假关节紧密牵张情况下骨组织再生的分期X线进程概念。依据X线片的视觉评估,采用了X线测量法和骨密度测量法。详细描述了修复性再生的各个阶段,并据此给出了关于牵张速率及其持续时间的选择、通过骨外固定器加载和固定骨折的时机等方面的战术建议。针对牵张过程中成骨特点的患者控制策略,使假关节治疗失败的数量减少了一半。

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