The First Affiliated Hospital of Soochow University, No.899, Pinghai Road, Suzhou 215006, PR China.
Department of Orthopedic Surgery, Shanghai Jiao Tong University Affiliated Sixth People's Hospital, Yishan Rd 600, Shanghai, 200233, PR China.
Injury. 2019 Nov;50(11):2070-2074. doi: 10.1016/j.injury.2019.07.029. Epub 2019 Jul 25.
Reconstruction of post-traumatic long bone defects is a formidable problem. To date, the approaches for bony reconstruction remain controversial. Thus, we aimed to compare the different methods in the treatment of patients with post-traumatic long bone defects, based on the long-term functional and self-evaluation results.
We retrospectively reviewed data on patients with post-traumatic long bone defects of the lower extremities from January 2006 to January 2015. The patients were divided into three groups according to the surgical method used to treat the defects (group 1, free vascularized fibular transfer; group 2, distraction osteogenesis; group 3, the induced membrane technique). Data including the complication rates, entire treatment period, long-term visual analog scale scores, and Sickness Impact Profile (SIP) scores during follow-up were recorded.
A total of 317 patients were included, with 106, 132, and 79 patients in groups 1, 2, and 3, respectively. The major complication rates were 22.6%, 25.8%, and 26.6% for the groups (P > 0.05), respectively. The mean treatment durations for bony defects, from surgery to non-protected weight-bearing, were 65.1, 46.5, and 56.6 weeks for each group, respectively. At 2 years postoperatively, the average SIP scores for each group were 10.5, 11.7, and 11.5, respectively (P > 0.05).
Patients who sustained long bone defects can be advised that either one of these three methods which typically results in long-term outcomes equivalent to others.
retrospective study.
创伤后长骨缺损的重建是一个艰巨的问题。迄今为止，骨重建的方法仍存在争议。因此，我们旨在根据长期功能和自我评估结果比较治疗创伤后长骨缺损患者的不同方法。
我们回顾性分析了 2006 年 1 月至 2015 年 1 月期间下肢创伤后长骨缺损患者的资料。根据治疗缺损的手术方法将患者分为三组（组 1，游离带血管腓骨移植；组 2，骨延长术；组 3，诱导膜技术）。记录并发症发生率、整个治疗期、长期视觉模拟评分和随访期间的 Sickness Impact Profile（SIP）评分。
共纳入 317 例患者，组 1、组 2 和组 3 分别有 106、132 和 79 例患者。各组主要并发症发生率分别为 22.6%、25.8%和 26.6%（P>0.05）。骨缺损从手术到非保护负重的平均治疗时间分别为每组 65.1、46.5 和 56.6 周。术后 2 年，每组的平均 SIP 评分分别为 10.5、11.7 和 11.5（P>0.05）。
对于患有长骨缺损的患者，可以告知他们这三种方法中的任何一种通常都能获得与其他方法相当的长期结果。
回顾性研究。
