Ting D, Petersen S W, Déjardin L M
Department of Small Animal Clinical Sciences, College of Veterinary Medicine, Michigan State University, East Lansing, Michigan 48824, USA.
Vet Comp Orthop Traumatol. 2010;23(2):134-40. doi: 10.3415/VCOT-09-04-0049. Epub 2010 Feb 11.
Bone transport osteogenesis, as described by Ilizarov, has been used to resolve segmental bone defects in both human and veterinary patients. These defects are created when a large osseous tumour, sequestrum, or non-union fracture is resected. This report documents two cases in which the principle of bone transport osteogenesis was applied by utilising the Ilizarov technique to bridge large osseous defects resulting from debridement of an infected nonunion fracture (case 1) and debridement of a sequestrum (case 2). Defects were treated by transporting either a complete or a hemi-circumferential bone segment. Both cases had resolution of osteomyelitis, satisfactory fracture union, and functional usage of the limb 39 weeks and 15 weeks post-surgery, respectively. Although manageable complications were encountered during the treatment of these cases, the long-term clinical outcome was eventually favorable. The authors believe that bone transport osteogenesis offers a valid restorative option in the treatment of bone defects resulting from extensive debridement and seque- strectomy.
如伊里扎洛夫所描述的骨搬运骨生成术，已被用于解决人类和兽医患者的节段性骨缺损问题。当切除大的骨肿瘤、死骨或骨不连骨折时，就会产生这些缺损。本报告记录了两例应用骨搬运骨生成术原理的病例，通过使用伊里扎洛夫技术来桥接因感染性骨不连骨折清创（病例1）和死骨清创（病例2）导致的大的骨缺损。通过搬运完整或半环形骨段来治疗缺损。两例患者的骨髓炎均得到解决，骨折分别在术后39周和15周获得满意愈合，肢体功能恢复良好。尽管在治疗这些病例过程中遇到了可控的并发症，但最终的长期临床结果是良好的。作者认为，骨搬运骨生成术为治疗因广泛清创和死骨切除导致的骨缺损提供了一种有效的修复选择。
