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[1]杨世明,郭 兵,陈小杰.弹性髓内针结合Ilizarov外固定架治疗胫骨大段缺损的疗效研究[J].福建医科大学学报,2019,53(06):409-412.
 YANG Shiming,GUO Bing,CHEN Xiaojie.Elastic Intramedullary Needle Combined with Ilizarov ExternalFixation in the Treatment of Large Segment Defect of Tibia[J].Journal of Fujian Medical University,2019,53(06):409-412.
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弹性髓内针结合Ilizarov外固定架治疗胫骨大段缺损的疗效研究(PDF)
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《福建医科大学学报》[ISSN:1672-4194/CN:35-1192/R]

卷:
第53卷
期数:
2019年06期
页码:
409-412
栏目:
临床研究
出版日期:
2019-12-31

文章信息/Info

Title:
Elastic Intramedullary Needle Combined with Ilizarov ExternalFixation in the Treatment of Large Segment Defect of Tibia
文章编号:
1672-4194(2019)06-0409-04
作者:
杨世明 郭 兵 陈小杰
福建医科大学 附属南平第一医院骨科创伤区,南平 353000
Author(s):
YANG Shiming GUO Bing CHEN Xiaojie
Department of Orthopaedic Trauma, Nanping First Hospital Affiliated toFujian Medical University, Nanping 353000, China
关键词:
创伤和损伤 胫骨/损伤 骨折固定术 髓内 外固定器
Keywords:
wounds and injuries tibia/injuries fracture fixation intramedullary external fixators
分类号:
R608; R658.3
DOI:
-
文献标志码:
A
摘要:
目的 评价弹性髓内针结合Ilizarov外固定架治疗骨干大段缺损的效果。 方法 回顾性分析胫骨干部骨缺损、骨不连的51例患者的临床资料,其中24例采用单纯的Ilizarov技术进行骨搬运手术(A组),27例采用弹性髓内针与Ilizarov外固定架的手术方式(B组)。末次随访时记录并比较两组患者骨折愈合的质量Paley评分、下肢肢体力线及成角情况、外固定指数(EFI)、关节功能的评分等。 结果 51例患者术后随访2.5年(2.5±0.5)年。A,B组骨折愈合时间分别为(1.88±0.5),(1.95±0.66)年,差别无统计学意义(P>0.05)。末次随访时,A,B组骨折愈合的质量Paley评分优秀率分别为66.67%及77.78%; EFI分别为(1.41±0.52)及(1.98±0.81); 美国膝关节功能评分(AKS)分别为(118.11±17.12)及(159.71±9.86); 国际通用的踝关节BairdJackson功能评分分别为(77.02±7.27)及(89.31±6.68); 愈合质量Paley评分分别为(28.58±3.22)及(39.02±2.81); 临床总有效率分别为58.33%及88.89%。两组间比较,差别均有统计学意义(P<0.05)。 结论弹性髓内针结合Ilizarov外固定架应用于大段骨缺损的治疗,可有效提高骨搬运手术的疗效,降低肢体力线成角等并发症。
Abstract:
Objective To evaluate the effect of elastic intramedullary needle combined with Ilizarov external fixation in the treatment of large segment defect. Methods The clinical data of 51 patients with bone defect and nonunion of tibia were analyzed, of which 24 were treated with simple Ilizarov technique(group A)and 27 with elastic intramedullary needle and Ilizarov external fixation(group B). During the last follow-up, the quality Paley score, lower extremity manual line and angular formation, external fixation index(EFI), and joint function score were recorded and compared in two groups of patients. Results The 51 patients were followed up for(2.5±0.5)years. The fracture healing time was not different between A and B group(P>0.05). At the last follow-up,for groups A and B respectively, the quality Paley score of fracture healing was 66.67% versus 77.78%, EFI(1.41±1.52)vs(1.98±0.81), the AKS knee function score(118.11±17.12)vs(159.71±9.86), the functional score of the Baird Jackson ankle joint(77.02±7.27)vs(89.31±6.68), healing quality(28.58±3.22)vs(39.02±2.81)and the total effective rate of treatment 58.33% vs 88.89%. The difference between the 2 groups were all statistically significant(P<0.05). Conclusion Elastic intramedullary needle combined with Ilizarov external fixation for the treatment of large bone defects can effectively improve the efficacy and reduce complications, and is worthy of clinical promotion.

参考文献/References:

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备注/Memo

备注/Memo:
收稿日期: 2019-02-23基金项目: 福建省南平市科技局指导项目(N2017DY)作者简介: 杨世明,男,副主任医师通讯作者: 陈小杰. Email: fjsnpsdyyy@163.com
更新日期/Last Update: 2019-12-20