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基于骨间隙量化的LRS固定器与Ilizarov治疗胫骨感染性骨不连疗效的临床影像学比较:一项原创研究

Clinicoradiological Comparison of Outcomes of LRS Fixator and Ilizarov in Infected Nonunion of Tibia Based on Bone Gap Quantification: An Original Research.

作者信息

Arfee Sakib, Malik Anzar Tariq, Nehru Ashish, Ali Umar, Arfee Akib, Arfee Adnan Aadil

机构信息

Department of Orthopaedics, GMC Jammu, Jammu and Kashmir, India.

Department of Radiodiagnosis and Imaging, GMC Srinagar, Jammu and Kashmir, India.

出版信息

J Pharm Bioallied Sci. 2022 Jul;14(Suppl 1):S295-S297. doi: 10.4103/jpbs.jpbs_757_21. Epub 2022 Jul 13.

Abstract

INTRODUCTION

The surgery of the fracture of the long bones is inherent to certain complications, one being nonunion. As various modalities are proposed, we aim in our study to compare the clinical and radiographic outcomes after the treatment with the Limb Reconstruction System (LRS) fixator and Ilizarov for the infected tibia with nonunion considering the bone gap quantifications.

MATERIALS AND METHODS

We conducted an observational prospective study among 40 subjects with tibial nonunion. They were grouped equally to be treated by the LRS fixator and Ilizarov. Clinical and radiographic outcomes were compared using the "Chi-squared and independent Student's -test," deliberating < 0.05 as significant.

RESULTS

We observed no significant difference for both the groups in the clinical union and functional and radiographic outcome for the various gaps of the nonunion. There was no significant difference for the groups when the time of healing was compared.

CONCLUSION

Comparable results are seen for both the treatment modalities. However, IL fixator performed better clinically, while the LRS was easily accepted by the patients.

摘要

引言

长骨骨折手术存在一些特定并发症,其中之一是骨不连。由于提出了多种治疗方法,在我们的研究中,考虑到骨缺损量化情况,旨在比较使用肢体重建系统(LRS)固定器和伊里扎洛夫技术治疗感染性胫骨骨不连后的临床和影像学结果。

材料与方法

我们对40例胫骨骨不连患者进行了一项前瞻性观察研究。将他们平均分为两组,分别采用LRS固定器和伊里扎洛夫技术进行治疗。使用“卡方检验和独立样本t检验”比较临床和影像学结果,以P<0.05为有统计学意义。

结果

对于骨不连的不同缺损情况,两组在临床愈合、功能和影像学结果方面均未观察到显著差异。比较愈合时间时,两组之间也没有显著差异。

结论

两种治疗方式的结果相当。然而,伊里扎洛夫固定器在临床上表现更好,而LRS更容易被患者接受。

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