Ilizarov technique in treatment of Gustilo type Ⅲ B and C of large tibia bone defect combined with soft tissue defect
- VernacularTitle:Ilizarov骨搬运技术治疗Gustilo ⅢB型、C型胫骨大段骨缺损合并软组织缺损的效果分析
- Author:
Wei-Dong XIAO
1
;
Ai-Xi YU
;
Zhen-Yu PAN
;
Shen-Xiang TAO
;
Xiang HU
;
Ying YUAN
;
Zheng WANG
Author Information
1. 武汉大学中南医院骨科
- Keywords:
Ilizarov technique;
tibia bone;
bone defect;
soft tissue defect;
surgery
- From:
Journal of Regional Anatomy and Operative Surgery
2019;28(1):42-45
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the efficacy of Ilizarov technique in treatment of Gustilo type Ⅲ B and C of large tibia bone defect combined with soft tissue defect. Methods Thirty cases with large tibia bone defect combined with soft tissue defect in our hospital from January 2016 to December 2018 were selected including 25 cases with type Ⅲ B and 5 cases with type Ⅲ C,who were all open tibia fractures and treated with Ilizarov technique. Results All patients were followed up for 10 to 18 months with an average of 15 months. The bone defects were reconstructed, the difference between the length of the affected limb and the healthy side was less than 2 cm. The fracture was healed and the wound was closed. One case was with paralysis of common peroneal nerve and recoveried after 3 months. Twenty-two cases recovered without extra surgery, five cases restored with skin graft and three cases covered the wound by rotating skin flap. Conclusion Ilizarov technique is one of effective ways to treat Gustilo Ⅲ type B and type C of large defect combined with soft tissue defect.
