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首页> 外文期刊>Injury >The Ilizarov method in infected nonunion of fractures.
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The Ilizarov method in infected nonunion of fractures.

机译：Ilizarov法治疗感染的骨折不愈合。

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Thirty patients with infected non-union of long bones were treated with radical resection of the necrotic bone and bone transport or compression/distraction osteosynthesis. Non-union, infection, deformity, bone gap and shortening were all addressed simultaneously using the Ilizarov principles. There were 15 cases with bone loss ranging from 4 to 12 cm (median bone gap of 7 cm), 10 cases of stiff non-union (six of which had an associated deformity) and five cases of mobile non-union. The median time in the Ilizarov frame was 150 days. Median follow up time after frame removal was 23.5 months. Bone grafting at the docking site was only required in three cases (10%). There were three cases of refracture (10%) and three cases of recurrence of infection (10%). The bone result was excellent in 21 patients (70%), good in three (10%), fair in none (0%) and poor in six (20%). The functional results were excellent in eight patients (26.7%), good in 12 (40.0%), fair in three (10%) and poor in seven (23.3%). It is difficult to precisely define the indications for preservation and reconstruction of severe injuries. The surgical team has to take into account the length, disability, complications and cost of treatment. Patients must be aware of the limitations of functional results and the possible difficulty of return to work despite the reconstructive attempt.
机译：对30例长骨不愈合的患者进行了根治性坏死切除，并进行了骨转运或加压/牵引性骨合成治疗。使用Ilizarov原理可同时解决不愈合，感染，畸形，骨间隙缩短等问题。 15例骨丢失范围为4至12 cm（中骨间隙为7 cm），10例僵硬性不愈合（其中6例伴有畸形），5例活动性不愈合。 Ilizarov框架的中位数时间为150天。去除框架后的中位随访时间为23.5个月。仅在三种情况下（10％）需要在对接部位进行骨移植。发生了3例屈光不正（10％）和3例感染复发（10％）。骨骼检查结果出色，其中21例（70％），三例（10％）好，无（0％），六例（20％）差。功能结果优良的患者有8例（26.7％），好于12例（40.0％），中等3例（10％），较差的7例（23.3％）。很难准确定义保存和重建严重伤害的适应症。手术团队必须考虑长度，残疾，并发症和治疗费用。患者必须意识到功能性结果的局限性，尽管进行了重建性尝试，也可能会重返工作岗位。

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