El-Husseini Timour F, Ghaly Nabil A M, Mahran Mahmoud A, Al Kersh Mohamed Ahmed, Emara Khaled M
Ain Shams University Hospitals, 28 Tawfik City, Nasr City, Cairo, Egypt.
Strategies Trauma Limb Reconstr. 2013 Aug;8(2):97-101. doi: 10.1007/s11751-013-0163-x. Epub 2013 Aug 2.
The aim of this study is to compare lengthening over an intramedullary nail to the conventional Ilizarov method with regard to percentage length increase, external fixation index, consolidation index and incidence of complications. This is a prospective randomized controlled study. Thirty-one limbs in 28 patients were included in the study; 15 were lengthened over an intramedullary nail, and 16 limbs were lengthened conventionally. The mean duration of external fixation in the lengthening over nail group was 52.2 days compared to 180.4 days in the conventional group. There was higher incidence of complications in the conventional method group. In comparison with conventional Ilizarov lengthening, lengthening over an intramedullary nail offers a shorter period of external fixation and fewer complications overall, but there is a high incidence of deep intramedullary infection which is serious.
本研究的目的是比较髓内钉延长术与传统伊里扎洛夫方法在长度增加百分比、外固定指数、骨愈合指数及并发症发生率方面的差异。这是一项前瞻性随机对照研究。28例患者的31条肢体纳入本研究；15条肢体采用髓内钉延长术，16条肢体采用传统方法延长。髓内钉延长术组的平均外固定时间为52.2天，而传统组为180.4天。传统方法组的并发症发生率更高。与传统伊里扎洛夫延长术相比，髓内钉延长术的外固定时间更短，总体并发症更少，但深部髓内感染的发生率较高，且情况严重。
