【摘要】：目的比較Ilizarov骨搬運技術與鎖定加壓接骨板(LCP)結合植骨內固定治療下肢感染性骨不連的臨床療效。方法回顧性分析自2010-07—2015-04診治的感染性骨不連22例,首先給予清創(chuàng)、VSD負壓吸引及抗生素鏈珠置入控制感染,待感染控制良好后,進行Ilizarov骨搬運技術(骨搬運組11例)或LCP結合植骨內固定(LCP組11例)治療。比較2組術中失血量、手術次數(shù)、感染控制率、住院時間、術后至開始部分負重時間及末次隨訪時AAOS評分。結果所有患者均獲得隨訪3~35個月,平均24.2個月。末次隨訪時骨搬運組4例完全愈合恢復,7例感染消除,骨搬運已結束,處于骨愈合期;1例發(fā)生針道感染,常規(guī)換藥加抗生素治愈。LCP組8例已完全恢復,3例出現(xiàn)感染,再次行手術治療。與LCP組比較,骨搬運組術中失血量及手術次數(shù)較少,感染控制率更高,差異有統(tǒng)計學意義(P0.05)。2組住院時間、術后至開始部分負重時間、AAOS評分比較差異無統(tǒng)計學意義(P0.05)。結論 Ilizarov骨搬運技術治療下肢感染性骨不連的感染控制率高,且能夠有效保護軟組織,促進其恢復,為肢體恢復長度提供保障。
[Abstract]:Objective to compare the clinical effect of Ilizarov bone transport technique and locking compression plate (LCP) combined with bone graft internal fixation in the treatment of infective bone nonunion of lower extremity. Methods 22 cases of infectious nonunion diagnosed and treated from 2010-07 to 2015-04 were retrospectively analyzed. First, debridement, VSD suction and antibiotic beads were performed to control the infection. Ilizarov bone transport technique (11 cases) or LCP combined with bone graft internal fixation (LCP group 11 cases) were performed. The amount of blood loss, the times of operation, the infection control rate, the time of hospitalization, the time of partial weight bearing from operation to the beginning of operation and the AAOS score at the last follow-up were compared between the two groups. Results all the patients were followed up for 3 ~ 35 months with an average of 24.2 months. At the last follow-up, 4 cases in the bone transport group recovered completely, 7 cases got rid of the infection, and the bone transport was finished, which was in the period of bone healing. One case developed needle infection and was cured by routine dressing change and antibiotics. In LCP group, 8 cases were completely recovered, 3 cases were infected and underwent surgical treatment again. Compared with LCP group, the amount of blood loss and the times of operation were less in bone handling group, and the infection control rate was higher (P0.05). There was no significant difference in AAOS score (P0.05). Conclusion the infection control rate of Ilizarov in the treatment of infective bone nonunion of lower extremity is high, and it can effectively protect soft tissue, promote its recovery and provide guarantee for the length of limb recovery.
【作者單位】： 吉林大學第一醫(yī)院創(chuàng)傷骨科;吉林省中醫(yī)院骨傷科;
【分類號】：R687.3

【參考文獻】

相關期刊論文 前4條

1 王元;李屹洲;王建忠;;骨髓間充質干細胞在骨缺損中的研究進展[J];中國骨與關節(jié)損傷雜志;2015年05期

2 顧龍殿;禹寶慶;周成歡;王永安;瞿衛(wèi);丁惠峰;;微創(chuàng)同種異體小顆粒骨植骨治療骨缺損[J];中國骨與關節(jié)損傷雜志;2015年03期

3 黃其龍;柯勇平;郭衛(wèi)中;王磊;林偉民;林旺;張申申;;自體骨聯(lián)合異體骨開放植骨治療脛骨遠端感染性骨缺損的療效觀察[J];中國骨與關節(jié)損傷雜志;2014年10期

4 李連華;劉智;孫天勝;任繼鑫;郭永智;張建政;王茂;李紹光;劉樹清;;62例脛骨干骨折骨不連的形成原因及治療[J];實用骨科雜志;2010年05期

【共引文獻】

相關期刊論文 前10條

1 韓維奇;錢宇;何偉;楊萬雷;李建磊;;下肢長管骨骨不連的相關危險因素分析[J];實用骨科雜志;2016年05期

2 胡永學;;鎖定鋼板治療股骨遠端C型骨折42例臨床觀察[J];中外醫(yī)學研究;2016年15期

3 莊云強;張軍;周龍;景靈勇;劉觀q，

本文編號：2351352