Tibial bone loss and soft-tissue defect treated simultaneously with Ilizarov-technique - a case report
Tibial bone loss and soft-tissue defect treated simultaneously with Ilizarov-technique - a case report
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DOI：
10.1080/000164700317381306
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发表时间：
2000-10-01
期刊：
影响因子：
--
通讯作者：
Christensen, KS
中科院分区：
文献类型：
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作者：
Bundgaard, KG;Christensen, KS
讨论闭合软组织缺损的唯一替代方法是使用游离肌瓣，这在技术上要求很高，但却是一种可靠的解决方案（Gooden等，1997）。伸肌和胫前肌腱缺损的替代治疗可能是肌腱移植（Hahn和Kim 1991）。然而，这需要一个供体部位，并且必须在治疗过程的后期进行。骨延长的替代解决方案可以是骨肿瘤切除后使用的自体骨移植物（Enneking等，1980，约翰逊等，1988），或血管化腓骨移植物，其已成功治疗骨髓炎后发生的骨缺损（Yajima等，1993）。在所有这些技术中，活动性感染是禁忌症。此外，治疗时间更长，手术和住院治疗的技术也更耗时。
DiscussionThe only other alternative to close the soft-tissue defect would be the use of a free muscle flap, which is technically demanding, but a reliable solution (Gooden et al. 1997). An alternative treatment of the defect in the extensor muscles and anterior tibial tendons could have been a tendon transplant (Hahn and Kim 1991). However, this requires a donor site and would have to be performed much later in the course of treatment. Alternative solutions to bone lengthening could be an autogenous bone graft, used after resection of bone tumors (Enneking et al. 1980, Johnson et al. 1988), or vascularized fibular grafts, which have been successful in the treatment of bone defects occurring after osteomyelitis (Yajima et al. 1993). In all these techniques, an active infection is a contraindication. Furthermore, the period of treatment is longer, and the techniques are more time-consuming, as regards surgery and inpatient stay.