伊利扎洛夫环形外固定器在治疗胫骨感染性骨不连中的应用
Ilizarov ring fixator in the management of infected non-unions of tibia.
作者信息
Wani Naveed Bashir, Syed Basit
机构信息
MS (Orthopaedics), Registrar department of orthopaedics, Government Medical College Srinagar J&K India.
PG scholar department of orthopaedics, Government Medical College Srinagar J&K India.
出版信息
SICOT J. 2015 Jul 29;1:22. doi: 10.1051/sicotj/2015022.
PURPOSE
The purpose of the study was to evaluate the effectiveness of debridement and application of Ilizarov ring fixator (IRF) in the management of infected tibial non-unions.
PATIENTS AND METHODS
Twenty six patients with infected non-unions of tibia were managed by debridement and resection of infected portion ± partial fibulectomy and stabilization by Ilizarov ring fixator. Bone segment transport was done in 18 patients who had greater than 2.5 cm bone defect after debridement. Bone grafting was required in three patients to augment union.
RESULTS
All fractures united and infection eradicated completely. There were 13 excellent, nine good, and four fair results. Functional results were excellent in nine, good in 11, fair in five and poor in one. Pin site inflammation was the most common problem and occurred in 23 (88%) patients. There were no major complications or neurovascular complications.
CONCLUSION
We conclude that debridement combined with Ilizarov ring fixator with or without partial fibulectomy is a reliable method of treatment of infected non-unions of tibia.
目的
本研究旨在评估清创及应用伊里扎洛夫环形固定器（IRF）治疗感染性胫骨骨不连的有效性。
患者与方法
26例感染性胫骨骨不连患者接受了清创、感染部位切除±部分腓骨切除术，并采用伊里扎洛夫环形固定器进行固定。18例清创后骨缺损大于2.5 cm的患者进行了骨段转移。3例患者需要植骨以促进骨愈合。
结果
所有骨折均愈合，感染完全消除。结果为优13例，良9例，可4例。功能结果为优9例，良11例，可5例，差1例。针道感染是最常见的问题，23例（88%）患者出现该问题。未发生重大并发症或神经血管并发症。
结论
我们得出结论，清创联合伊里扎洛夫环形固定器，无论是否行部分腓骨切除术，都是治疗感染性胫骨骨不连的可靠方法。
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