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环形固定,无限可能:应用伊里扎洛夫技术重建粉碎性胫骨——病例报告

Circular Fixation, Endless Possibilities: Rebuilding a Shattered Tibia using the Ilizarov Technique - A Case Report.

作者信息

Naskar Avik Kumar, Kunwar Saurabh Satyanarayan, Mehta Meet Ajay, Bhowmick Loknath, Ganwir Himanshu Pradeep, Atram Vikas Anandrao

机构信息

Department of Orthopaedics, Indira Gandhi Government Medical College and Hospital, Nagpur, Maharashtra, India.

出版信息

J Orthop Case Rep. 2025 Jul;15(7):116-120. doi: 10.13107/jocr.2025.v15.i07.5790.

Abstract

INTRODUCTION

Tibial fractures, particularly complex and open types, present significant challenges in orthopedic trauma care due to their risk of complications and prolonged recovery. The Ilizarov technique offers a reliable and minimally invasive solution for achieving stable fracture fixation, promoting osteogenesis, and enabling early mobilization.

CASE REPORT

A 27-year-old male sustained a Grade 1 compound comminuted fracture of the right tibia along with a proximal fibular fracture following a motorcycle accident. The patient was managed with an Ilizarov external fixator. The procedure provided stable fixation, facilitated bone regeneration, and supported early rehabilitation. The patient achieved full functional recovery and complete radiological union without complications. At 1-year follow-up, bone alignment and regeneration were excellent.

CONCLUSION

The Ilizarov ring fixation technique is an effective and dependable method for managing high-energy tibial fractures. It enhances bone healing, and promotes early functional recovery, making it a valuable tool in complex fracture management.

摘要

引言

胫骨骨折,尤其是复杂型和开放性骨折,由于其并发症风险和恢复时间长,在骨科创伤治疗中面临重大挑战。伊利扎洛夫技术为实现稳定的骨折固定、促进骨生成和早期活动提供了一种可靠且微创的解决方案。

病例报告

一名27岁男性在摩托车事故后发生右胫骨1级复合粉碎性骨折并伴有近端腓骨骨折。该患者采用伊利扎洛夫外固定架进行治疗。该手术提供了稳定的固定,促进了骨再生,并支持早期康复。患者实现了完全功能恢复且放射学完全愈合,无并发症。在1年随访时,骨对线和再生情况良好。

结论

伊利扎洛夫环形固定技术是治疗高能量胫骨骨折的一种有效且可靠的方法。它可促进骨愈合,并促进早期功能恢复,使其成为复杂骨折治疗中的一种有价值的工具。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7696/12237454/1b8a45260cb3/JOCR-15-116-g001.jpg

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