在大规模的骨缺陷重建后,骨融合后骨延长
Rui Zhang1, Xiangyun Yao1, Xiaoyu Wang1
1Department of Orthopedics, Shanghai Sixth People's Hospital Affiliated to Shanghai Jiao Tong University School of Medicine, Shanghai, China.
这项研究表明,将骨融合与渐进的骨延长相结合,有效地重建了巨大的骨缺陷. 这种新的技术恢复了脚和脚的功能,为具有挑战性的骨质损失病例提供了有希望的解决方案.
科学领域:
- 整形外科手术 整形外科手术
- 重建性手术是一种重建性手术.
- 创伤学 创伤学 创伤学
背景情况:
- 卡尔卡纽斯缺陷会给重建带来重大挑战.
- 现有的方法,如移植移植和分心骨质生成有局限性.
- 目前的脚骨延长仅限于骨损失低于35%.
研究的目的:
- 介绍和评估一种新的技术,结合骨融合和渐进的骨延长.
- 为了治疗由于创伤而导致巨大的骨损失的患者.
- 评估这种综合方法的临床和放射性结果.
主要方法:
- 从2015年1月到2021年12月,对6名患者进行了回顾性研究.
- 进行了结合的骨融合和骨逐渐延长.
- 评估结果使用美国整形足和脚评分 (AOFAS) 和放射测量 (TCA,CIA,MDA,ALA,CAL).
主要成果:
- 平均脚轴延长为43.8毫米 (原始长度的47.8%).
- 平均外部固定时间为104.8天.
- 在平均35个月的随访后,所有患者都表现出纠正的形,有三个优秀的AOFAS分数和三个好的AOFAS分数.
结论:
- 结合Ilizarov技术与骨融合是大规模骨重建的可行选择.
- 这种方法令人满意地恢复了脚和脚的功能.
- 骨融合对于加强分心的骨,纠正形,增强后脚的稳定性至关重要.
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