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Creating Rigidly Stabilized Fractures for Assessing Intramembranous Ossification, Distraction Osteogenesis, or Healing of Critical Sized Defects

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目前对隔膜长骨缺陷的管理-多学科和国际视角

Steffen Bernd Rosslenbroich¹, Chang-Wug Oh², Thomas Kern³

¹Department of Trauma, Hand and Reconstructive Surgery, University Hospital Muenster, 48149 Münster, Germany.

Journal of clinical medicine

|October 14, 2023

概括

治疗大型细分长骨缺陷是复杂的. 本文重点介绍的是自主骨重建技术,为骨科外科医生提供国际概述.

科学领域:

整形外科手术整形外科手术
创伤外科手术创伤外科
骨的重建骨的重建

背景情况:

细分长骨缺陷在创伤和骨科手术中存在重大挑战.
治疗决策受到缺陷病因,患者的病情和外科医生的方法的影响.
对于2-3厘米或更大的缺陷,特别是下肢的缺陷,考虑重建.

研究的目的:

为 segmental长骨缺陷的修复和重建技术提供当前概念的国际概述.
专注于自身的技术,由于有限的allograft可用性和潜在的较差的结果.
整合有关管理复杂骨缺陷的信息.

主要方法:

关于长骨缺陷修复和重建的当前文献的综述.
将技术分为修复 (例如,分心骨质生成) 和重建 (例如,自体移植,Masquelet技术) 的技术.
强调自身骨移植和相关的重建方法.

主要成果:

存在各种技术,广泛归类为维修或重建.
分心骨质生成是修复技术的基础.
自主移植 (血管化或Masquelet技术) 和全移植是重建的选择,重点是自主移植方法.

结论:

自主技术是重建细分长骨缺陷的首选方法.
考虑患者的并发病和需求的多学科评估至关重要.
本综述提供了对管理这些具有挑战性的骨缺陷的一致观点.

关键词:

伊利扎罗夫伊利扎罗夫伊利扎罗夫一个完全内部的分心.骨缺陷是一种骨缺陷.的分散注意力的分散注意力

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Treatment for a fracture is based on the type of break, the bone affected, and the patient's age.
Minor fractures with no bone displacement are treated by immobilizing the fractured bone using a cast or splint. However, in the case of fractures with displaced bones, the broken bones are repositioned before immobilization to ensure successful healing without deformation and loss of function. The realignment of fractured bone ends is performed through a process called reduction. If the...