Ilizarov technique in treatment of Gustilo type Ⅲ B and C of large tibia bone defect combined with soft tissue defect

XIAO Wei-dong; YU Ai-xi; PAN Zhen-yu; TAO Shen-xiang; HU Xiang; YUAN Ying; WANG Zheng

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Ilizarov technique in treatment of Gustilo type Ⅲ B and C of large tibia bone defect combined with soft tissue defect

更新时间：2023-05-22

- Ilizarov technique in treatment of Gustilo type Ⅲ B and C of large tibia bone defect combined with soft tissue defect
- null Issue 1, (2019)
- 作者机构：
  
  武汉大学中南医院骨科,湖北,武汉,430071
- 作者简介：
- 基金信息：
- DOI：
  CLC：
- Published：2019，
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XIAO Wei-dong, YU Ai-xi, PAN Zhen-yu, et al. Ilizarov technique in treatment of Gustilo type Ⅲ B and C of large tibia bone defect combined with soft tissue defect. [J]. null (1).(2019)
DOI：

XIAO Wei-dong, YU Ai-xi, PAN Zhen-yu, et al. Ilizarov technique in treatment of Gustilo type Ⅲ B and C of large tibia bone defect combined with soft tissue defect. [J]. null (1).(2019) DOI：

摘要

目的探讨Ilizarov骨搬运技术治疗Gustilo ⅢB型、C型胫骨大段骨缺损合并软组织缺损的效果。方法选取2016年1~12月本院收治胫骨大段骨缺损合并软组织缺损患者30例（ⅢB型25例，ⅢC型5例），均为胫骨开放性骨折。对所有患者采取Ilizarov外固定骨搬运技术治疗。结果所有患者随访10～28个月，平均15个月；骨缺损均得以重建，患肢长度与健侧之差小于2 cm，骨折愈合，创面均闭合。1例术后出现腓总神经麻痹，术后3个月恢复。22例未通过额外手术进行修复。5例通过游离皮片植皮成活，3例通过局部旋转皮瓣修复覆盖创面。结论 Ilizarov骨搬运技术是临床治疗Gustilo ⅢB型、C型胫骨大段骨缺损合并软组织缺损的有效方法之一。

Abstract

Objective To investigate the efficacy of Ilizarov technique in treatment of Gustilo type Ⅲ B and C of large tibia bone defect combined with soft tissue defect.Methods Thirty cases with large tibia bone defect combined with soft tissue defect in our hospital from January 2016 to December 2018 were selected including 25 cases with type Ⅲ B and 5 cases with type Ⅲ C

who were all open tibia fractures and treated with Ilizarov technique.Results All patients were followed up for 10 to 18 months with an average of 15 months.The bone defects were reconstructed

the difference between the length of the affected limb and the healthy side was less than 2 cm.The fracture was healed and the wound was closed. One case was with paralysis of common peroneal nerve and recoveried after 3 months.Twentytwo cases recovered without extra surgery

five cases restored with skin graft and three cases covered the wound by rotating skin flap.Conclusion Ilizarov technique is one of effective ways to treat Gustilo Ⅲ type B and type C of large defect combined with soft tissue defect.

关键词

Ilizarov技术胫骨骨缺损软组织缺损手术

Keywords

Ilizarov techniquetibia bonebone defectsoft tissue defectsurgery

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