Distraction osteogenesis in management of composite bone and soft tissue defects
Distraction osteogenesis in management of composite bone and soft tissue defects
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DOI：
10.1007/s00264-008-0574-3
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发表时间：
2010-01-01
影响因子：
2.7
通讯作者：
El-Moghazy, Nabil
中科院分区：
文献类型：
--
作者：
El-Alfy, Barakat;El-Mowafi, Hani;El-Moghazy, Nabil
软组织缺损是伴随骨缺损而出现的最棘手的问题之一。通常需要做整形手术。在牵张成骨过程中，不仅延长了骨，还延长了软组织，这可能有助于软组织缺损的自发愈合。本研究对11例复合骨和软组织缺损采用牵张成骨技术进行修复。在清除坏死组织后，软组织缺损由3厘米乘4厘米至5厘米乘14厘米不等，而骨缺损则由4厘米至12厘米不等。除1例外，所有软组织缺损均在骨转移过程中愈合，无需整形手术。并发症在治疗过程中得到了成功的处理。牵引成骨是一种同时修复复合骨和软组织缺损的良好方法。
A soft tissue defect is one of the most difficult problems that may accompany bone defects. Plastic surgery is often required. During distraction osteogenesis, not only the bone but also the soft tissues are lengthened, which may help in spontaneous closure of the soft tissue defects. This study examines 11 cases of composite bone and soft tissue defects which were managed by distraction osteogenesis. After debridement of the necrotic tissues, the soft tissue defects ranged from three by four centimetres to five by 14 centimetres and the bone defects ranged from four to 12 centimetres. All the soft tissue defects healed during the process of bone transport without the need for plastic surgery, except in one case. The complications were successfully managed during the course of treatment. Distraction osteogenesis is a good method for simultaneous treatment of composite bone and soft tissue defects.