骨搬移技术应用于胫骨骨缺损的临床观察

Clinical application of bone movement technique in the treatment of tibial bone defect

目的探讨骨搬移技术应用于胫骨骨缺损的安全性及疗效。方法选取2013年12月至2015年12月我院收治的胫骨骨缺损患者63例,分为观察组(32例)与对照组(31例)。观察组患者采用骨搬移技术治疗,对照组患者接受同侧带蒂腓骨转移术治疗。比较两组患者的骨折愈合情况、并发症发生情况、Barid-Jackson评分以及HHS评分。结果观察组患者骨性愈合时间显著短于对照组患者(P<0.01),Paley评分显著高于对照组患者(P<0.01)。组间比较显示,治疗后,观察组患者Barid-Jackson评分和HHS评分均优于对照组患者(P<0.05)。观察组不良反应发生率更低(P<0.05)。结论骨搬移技术应用于胫骨骨缺损的临床治疗,操作简便,能够缩短患者术后愈合周期,改善踝关节与膝关节功能,有利于患者康复。

Objective To investigate the safety and efficacy of bone graft technique in the treatment of tibial bone defects.Methods Sixty?three cases of tibial bone defects in our hospital from Dec.2013to Dec.2015were enrolled in the study,and were divided into two groups.The patients in theobservation group were treated with bone movement technique,and those of control group received the fibular transfer with ipsilateral pedicle.The fracture healing,complications,Barid?Jackson score and HHS score were compared between the two groups.Results The bone healing time of the observation group was significantly shorter than that of the control group(P<0.01),and the score of Paley was significantly higher than that of the control group(P<0.01).Barid?Jackson score and HHS score in the observation group were better than those in the control group(P<0.05).The incidence of adverse reactions in the observation group was lower(P<0.05).Conclusion The technique of bone transfer for the treatment of tibial bone defect is easy to operate and can shorten the postoperative healing cycle.