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伊利扎罗夫骨搬运术治疗长骨感染性骨不连:一项多中心回顾性队列研究。

Ilizarov bone transport to treat infected nonunion of long bones: a multicenter retrospective cohort study.

作者信息

Xie Jiang, Zhao Guobin, Yasheng Tayierjiang, Chen Hongtao, Amuti Nuermaimaiti, Maimaitirexiati Muhetaer, Yibulayinmu Abulaitijiang, Cao Mingyu, Yusufu Aihemaitijiang

机构信息

Department of Orthopedic Spine Surgery, Sixth Affiliated Hospital of Xinjiang Medical University, Urumqi, Xinjiang, China.

Department of Orthopedics, Urumqi Friendship Hospital, Urumqi, Xinjiang, China.

出版信息

J Int Med Res. 2021 Mar;49(3):3000605211002701. doi: 10.1177/03000605211002701.

Abstract

OBJECTIVE

To examine the efficacy and safety of Ilizarov bone transport in the treatment of infected nonunion of long bones.

METHODS

Patients who underwent Ilizarov bone transport for treatment of bone nonunion with chronic osteomyelitis in the three largest regional orthopedic trauma centers in China from July 2013 to July 2018 were retrospectively examined. Treatment results were evaluated with Paley's criteria for bone healing and functional assessment.

RESULTS

In total, 189 patients were treated during the study period. The study population comprised 135 male and 54 female patients with an average age of 37.5 years (range, 11-61 years). The patients were followed up for at least 24 months. According to Paley's criteria for bone healing and functional assessment, the bone healing results were excellent in 115 (61%) patients, good in 31 (16%), fair in 21 (11%), and poor in 22 (12%). The functional evaluation results were excellent in 76 (40%) patients, good in 65 (34%), fair in 22 (11%), poor in 26 (14%).

CONCLUSION

Infected nonunion of long bones can be effectively and safely treated with Ilizarov bone transport.

摘要

目的

探讨伊利扎洛夫骨搬运技术治疗长骨感染性骨不连的疗效及安全性。

方法

回顾性分析2013年7月至2018年7月在中国三大区域性骨科创伤中心接受伊利扎洛夫骨搬运技术治疗慢性骨髓炎所致骨不连的患者。采用佩利骨愈合标准和功能评估标准对治疗结果进行评价。

结果

研究期间共治疗189例患者。研究对象包括135例男性和54例女性患者,平均年龄37.5岁(范围11 - 61岁)。患者至少随访24个月。根据佩利骨愈合标准和功能评估标准,115例(61%)患者骨愈合结果为优,31例(16%)为良,21例(11%)为可,22例(12%)为差。功能评估结果为优的患者76例(40%),良65例(34%),可22例(11%),差26例(14%)。

结论

伊利扎洛夫骨搬运技术可有效、安全地治疗长骨感染性骨不连。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e219/8166389/1cb58a98de91/10.1177_03000605211002701-fig1.jpg

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