Limb Lengthening and Deformity Service, Hospital for Special Surgery, Weill Cornell Medical College, New York, NY, USA.
HSS J. 2009 Feb;5(1):31-9. doi: 10.1007/s11420-008-9102-7. Epub 2008 Nov 26.
Segmental bone defects of the tibia present a challenging problem, particularly when they are associated with soft tissue injuries or instability. Various techniques have been reported to treat bone loss in the tibia. This case report describes a patient with massive segmental bone loss associated with a soft tissue injury, which required a flap for coverage. The injury was treated with an ipsilateral fibular transport utilizing an Ilizarov/Taylor spatial frame. At one and a half year follow-up, the patient was able to walk without any support at home and wore a protective shell for outdoor activities. The outcome of this case study indicates that ipsilateral fibular transport using the Ilizarov method is a valuable technique for limb salvage reconstruction.
胫骨节段性骨缺损是一个具有挑战性的问题，特别是当它们伴有软组织损伤或不稳定时。已经报道了各种技术来治疗胫骨的骨丢失。本病例报告描述了一名患者存在与软组织损伤相关的巨大节段性骨丢失，需要皮瓣覆盖。损伤采用同侧腓骨搬运术，使用伊里扎洛夫/泰勒空间框架治疗。随访 1 年半，患者在家中无需任何支撑即可行走，户外活动时佩戴保护套。本病例研究的结果表明，采用伊里扎洛夫法的同侧腓骨搬运术是肢体挽救重建的一种有价值的技术。
