高能胫骨创伤后的骨折愈合：伊利扎洛夫技术与泰勒空间外固定架的比较
Fracture healing following high energy tibial trauma: Ilizarov versus Taylor Spatial Frame.
作者信息
Menakaya C U, Rigby A S, Hadland Y, Barron E, Sharma H
机构信息
Hull and East Yorkshire Hospitals NHS Trust, UK.
出版信息
Ann R Coll Surg Engl. 2014 Mar;96(2):106-10. doi: 10.1308/003588414X13824511650335.
INTRODUCTION
The optimal treatment of high energy tibial fractures remains controversial and a challenging orthopaedic problem. The role of external fixators for all these tibial fractures has been shown to be crucial.
METHODS
A five-year consecutive series was reviewed retrospectively, identifying two treatment groups: Ilizarov and Taylor Spatial Frame (TSF; Smith & Nephew, Memphis, TN, US). Fracture healing time was the primary outcome measure.
RESULTS
A total of 112 patients (85 Ilizarov, 37 TSF) were identified for the review with a mean age of 45 years. This was higher in women (57 years) than in men (41 years). There was no significant difference between frame types (p=0.83). The median healing time was 163 days in both groups. There was no significant difference in healing time between smokers and non-smokers (180 vs 165 days respectively, p=0.07), open or closed fractures (p=0.13) or age and healing time (Spearman's r=0.12, p=0.18). There was no incidence of non-union or re-fracture following frame removal in either group.
CONCLUSIONS
Despite the assumption of the rigid construct of the TSF, the median time to union was similar to that of the Ilizarov frame and the TSF therefore can play a significant role in complex tibial fractures.
引言
高能胫骨骨折的最佳治疗方案仍存在争议，是一个具有挑战性的骨科问题。外固定架在所有这些胫骨骨折治疗中的作用已被证明至关重要。
方法
回顾性分析连续五年的病例系列，确定两个治疗组：伊利扎罗夫（Ilizarov）组和泰勒空间框架（TSF；美国田纳西州孟菲斯市的史赛克公司）组。骨折愈合时间是主要的观察指标。
结果
共纳入112例患者进行回顾性分析（伊利扎罗夫组85例，TSF组37例），平均年龄45岁。女性患者年龄（57岁）高于男性患者（41岁）。两种外固定架类型之间无显著差异（p = 0.83）。两组的中位愈合时间均为163天。吸烟者与非吸烟者之间的愈合时间无显著差异（分别为180天和165天，p = 0.07），开放性骨折与闭合性骨折之间无显著差异（p = 0.13），年龄与愈合时间之间也无显著差异（Spearman相关系数r = 0.12，p = 0.18）。两组在拆除外固定架后均未发生骨不连或再骨折。
结论
尽管TSF被认为具有刚性结构，但中位愈合时间与伊利扎罗夫外固定架相似，因此TSF在复杂胫骨骨折治疗中可发挥重要作用。
Zotero 插件