Ilizarov external fixator: acute shortening and lengthening versus bone transport in the management of tibial non-unions
Ilizarov external fixator: acute shortening and lengthening versus bone transport in the management of tibial non-unions
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DOI：
10.1016/j.injury.2004.10.027
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发表时间：
2005-05-01
影响因子：
2.5
通讯作者：
Hill, RA
中科院分区：
文献类型：
--
作者：
Mahaluxmivala, J;Nadarajah, R;Hill, RA
资深作者在1995年3月至2001年9月期间采用Itizarov方法治疗了18例胫骨干骨不连患者。三个亚组，每组6名患者，通过急性缩短和延长、骨转移或支架简单稳定进行治疗。使用Ilizarov原则解决骨不连、感染、短缩、畸形和骨丢失的所有方面。整个系列中有10例感染性骨不连。短缩组的截骨长度为3 - 6 cm（中位数4.6），而骨转移组为3-7.5 cm（中位数5.9）。所有患者均实现愈合，平均愈合时间分别为12.1个月、17.2个月和8.0个月。骨转移组有5名患者（83.3%）在愈合前需要额外植骨，而急性短缩组有1名患者（16.7%）需要额外植骨。(c)2004爱思唯尔有限公司保留所有权利。
Eighteen patients with tibial shaft non-unions were treated by the Itizarov method between March 1995 and September 2001 by the senior author. Three subgroups of six patients each were treated by either acute shortening and lengthening, bone transport or simple stabilisation with a frame. All aspects of nonunion, infection, shortening, deformity and bone loss were addressed by using Ilizarov principles. There were 10 cases of infected non-unions in the entire series. Bone resection in the shortening group was between 3 and 6 cm (median 4.6) compared to 3-7.5 cm (median 5.9) in the bone transport group. Union was achieved in all the patients with the average time to union at 12.1 months, 17.2 months and 8.0 months, respectively. The bone transport group required additional bone grafting in five patients (83.3%) prior to union compared to one (16.7%) in the acute shortening group. (c) 2004 Elsevier Ltd. All rights reserved.