Rose R E C, Palmer W St O
Division of Orthopaedics, Department of Surgery, Radiology, Anaesthesia and Intensive Care, The University of the West Indies, Kingston 7, Jamaica, West Indies.
West Indian Med J. 2007 Jun;56(3):246-51. doi: 10.1590/s0043-31442007000300011.
To review the results of the management of infected non-union of long bones using the Illizarov fixator.
Eight patients with non-union of long bones associated with current or prior infection were treated between 1998 and 2006. Seven patients were treated between 2004 and 2006. There were seven males and one female with an average age of 32 years (range 17-53 years). Four non-unions were located in the tibia, two were present in the humerus, one was present in the femur and one was intraarticular. Five non-unions were treated with acute compression, two were treated with bone transport and the frame was used in a static mode in one.
There was one excellent, three good, one fair and three poor results.
The Illizarov technique is an important treatment method for surgeons performing posttraumatic reconstructive surgery. Non-union, infection, shortening and deformity are all addressed simultaneously.
回顾采用伊里扎洛夫(Illizarov)外固定器治疗长骨感染性骨不连的结果。
1998年至2006年间,对8例伴有当前或既往感染的长骨骨不连患者进行了治疗。2004年至2006年间治疗了7例患者。患者中男性7例,女性1例,平均年龄32岁(范围17 - 53岁)。4例骨不连位于胫骨,2例位于肱骨,1例位于股骨,1例为关节内骨不连。5例骨不连采用急性加压治疗,2例采用骨搬运治疗,1例采用外固定架静态固定模式。
结果为优1例,良3例,可1例,差3例。
伊里扎洛夫技术是创伤后重建外科医生的重要治疗方法。骨不连、感染、短缩及畸形可同时得到解决。