骨外固定器治疗创伤后感染性胫骨骨不连

External fixator in the treatment of infective tibial nonunion following trauma

目的探讨骨外固定器治疗创伤后感染性胫骨骨不连接的疗效。方法自1994年6月至2004年6月,应用骨外固定器治疗创伤后感染性胫骨骨不连10例,其中单侧外固定支架5例,Ilizarov外固定支架5例。结果所有胫骨骨不连7例得到愈合,骨愈合时间7～11月,平均8.5月;2例随访已5个月,见有明显骨痂生长;1例术后感染复发,经过随访11月,未见明显骨痂生长。结论骨外固定器具有使用方法简单,疗效可靠,是治疗创伤后感染性胫骨骨不连接的理想方法。

Objective To investigate the curative treatment of infective tibial noonunion after trauma. effect of the external fixator of bone in the Methods From June 1994 to June 2004,10 patients with infective tibial nonunion following trauma were analyzed retrospectively. The debridement and external fixation with external fixator of bone were performed in all cases,Among them,unilateral exteral fixation stent was used in 5 cases and Ilizarov external fixation stent was used in 5 cases. Results In this group, bone healing was showed in 7 cases. The time of bone healing was from 7 months to 11 months （average 8,5 months）. 2 cases were followed up for 5 months,and obvious callus growths were found. 1 case of postoperative infective recurrence was followed-up for 11 months, and there was no significant callus growth. Conclusion The external fixator of bone posseses a simple manipulation and reliable curative effect. So, it is a one of the ideal method for the treatment of the infective tibial non-union after trauma.