【摘要】 目的:对胫骨感染大段骨缺损患者使用自制外固定支架骨搬移法进行治疗,回顾分析其的临床治疗效果。方法:选择胫骨感染后大段骨缺损25例,采用感染骨段彻底清创、胫骨截骨后使用自制外固定支架进行骨搬移。结果:25例胫骨感染伴大段骨缺损患者中,通过骨搬移截骨端骨延长6~12 cm,平均延长8.5 cm,术后使用自制外固定支架固定6~13个月,结果显示延长区有明显连续新骨生成。双下肢长度:19例一致,6例有1.0~3.5 cm肢体短缩,但对行走功能无明显影响,所有患者无血管及神经损伤的症状出现。结论:采用骨搬移治疗胫骨骨折术后感染、大段骨质缺损,操作简单,临床治疗效果可靠,是治疗胫骨骨折术后骨感染大块骨缺损的一种可靠治疗方案,值得推广。更多还原

【Abstract】 Objective To analyze the clinical efficacy of treating segmental bone defect patients with tibia infection.The patients were treated by using bone transport therapy by self-made external fixator Methods Between January 2006 to April 2013,We treated and tibial infection 25 cases by self-made external fixation.Results All patients got primary infection controlled.In all 25 cases,the mean length of regenerating bone were 8.5cm(range 6~12 cm).None had the symptoms of blood vessel and the nerve injury.Conclusion It is an effective treatment to the tibial nonunion Patients by using the self-made external fixtor combined with internal bone transport technique.The infection control,raw surface eliminate and large bone defects can be treated on one operation with no bone grafting.更多还原