Ilizarov technique for the treatment of femoral infectious ununtied fracture and bone defect
10.11659/jjssx.12E015205
- VernacularTitle:Ilizarov 技术治疗股骨感染性骨不连或骨缺损
- Author:
Xiaojun HUANG
;
Jiankang XUE
;
Haorui ZHANG
;
Tianjian CHEN
- Publication Type:Journal Article
- Keywords:
Ilizarov technique;
femur;
infectious ununtied fracture;
bone defect
- From:
Journal of Regional Anatomy and Operative Surgery
2016;25(7):494-496,497
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the clinical outcomes and complications of the Ilizarov technique for the treatment of femoral infec-tious ununtied fracture and bone defect.Methods A total of 40 patients with femoral infectious ununtied fracture or bone defect were admit-ted into our department from July 2006 to September 2012.After radical debridement,patients were given osteotomy and Ilizarov external fix-ation,and distraction osteogenesis were used in the treatment of bone defects.And the clinical effects and complications of the treatment were evaluated.Results All of the patients were followed up for 12 ~32 months (24.5 months averagely).Totally 39 patients of them acquired bone healing,and the mean healing time was 15.5 months (12 ~26 months).The knee joint range of motion of 32 patients were obviously decreased after operation (P =0.031).There were 10 cases of partial hip joint range of motion decrease,22 cases of leg length discrepancy (more than 1.1 cm),1 case of Iatrogenic vascular injury,and 10 cases required autologous cancellous bone graft.Pin loosening,deep infec-tion,clubfoot deformity,and deep vein thrombosis or bleeding were founded in parts of the patients.Conclusion Ilizarov technique can ac-quire success in the treatment of femoral infectious ununtied fracture and bone defect,but it has many complications.
