Ilizarov技术在骨科领域的应用进展

Application progress of Ilizarov technique in orthopedics

Ilizarov技术是基于"张力-应力法则",通过外固定架等形成稳定力学结构,仅需很小的创口,不剥离骨周围组织与骨膜,连接不同类型的固定针与骨或软组织形成牵张力,持续刺激骨与周围组织的再生,改善局部的血运,早期的功能康复锻炼,形成了一套完整的微创骨科治疗体系。在骨折的愈合、畸形矫正、组织修复、骨髓炎、骨不连、骨缺损、骨肿瘤等方面取得了良好的效果。该文将总结Ilizarov技术在骨科领域临床实践与研究,探讨Ilizarov技术目前需要解决的重点问题。

Ilizarov technique is designed based on the"tension-stress principle".Application of the Ilizarov technique can help form a stable mechanical structure through external fixation.It only creates small wounds,without peeling off the surrounding tissue and periosteum.It connects different types of fixation pins and bone or soft tissue to form a traction force,which continuously stimulates the regeneration of bone and tissue and improves the local blood supply and early functional rehabilitation exercises,forming a complete set of minimally invasive orthopedic treatment systems.Ilizarov technique has achieved good results in fracture healing,deformity correction,tissue repair,osteomyelitis,bone nonunion,bone defect,and bone tumor.This paper will summarize the clinical application and research of the Ilizarov technique in orthopedics and explore the key problems of the Ilizarov technique that need to be solved at present.