Ilizarov external fixator combined pedicle flaps transfered on the treatment of infective fracture nonunion with soft tissue defects in legs
- VernacularTitle:Ilizarov外固定架结合带蒂皮瓣转移治疗小腿感染性骨折不愈合伴皮肤软组织缺损(15例随访报告)
- Author:
Hengsheng SHU
;
Baotong MA
;
Shilian KAN
- Publication Type:Journal Article
- Keywords:
lower leg;
infective fracture;
nonunion;
external fixation;
flap
- From:
Orthopedic Journal of China
2006;0(12):-
- CountryChina
- Language:Chinese
-
Abstract:
[Objective]To investigate the clinical effects of Ilizarov external fixator combined pedicle flaps transfer on the treatment of infective fracture nonunion with soft tissue defects in legs.[Method]Fiftecn patients aged 20-58 years(mean age 40 years) were treated with Ilizarov external fixator combined pedicle flaps transfer from July 2005 to September 2008.The areas of flaps were 6 cm?5 cm-15 cm?10 cm.[Result]All patients were followed up.The mean follow-up time was 13 months(range 8-33 months).Fourteen patients achieved fracture union.One patient had partial flap necrosis and recurrent infection and healed aafter a repeat operation.The average tibia fracture healing time was 6.5 months.The mean framing time was 7.0 months.[Conclusion]Ilizarov external fixator combined pedicle flaps transfer can effectively treat infective fractures nonunion with soft tissue defects in legs.In order to achieve the desired results,proper surgery timing and surgical indications are important.
