Two-site osteotomy bone transport for large segmental defects of tibia and soft tissue
作者单位：Othopaedic Research Institute of Kunming General HospitalChengdu Military Command PLA
会议名称：《第三届全军创伤骨科学术大会》
会议日期：2015年
学科分类：1002[医学-临床医学] 100210[医学-外科学(含：普外、骨外、泌尿外、胸心外、神外、整形、烧伤、野战外)] 10[医学]
关 键 词：Tibial Bone Defects Soft Tissue Ddefects Distraction Osteogenesis
摘 要：Objective To do two-site osteotomy of tibial bone transport of for large defects of the tibia and sort tissue and evaluate its role in accelerating the bone union and soft tissue *** From May 2009 to May 2011,6 cases of large tibial and soft tissue defects were treated in our *** cases were all open fractures of Gustilo IIIB,with an average of *** causes include 5cases of accidental trauma,1 case of machine *** size of soft tissue of the anterior leg ranged from 8cm×4cm to 24cm×11cm,and the defect length of the tibia defect was from *** debridement,the half-ring external fixator were used to fix the *** osteotomy were made on the proximal and distal metaphsis of the tibia,and the bone transport were made at a speed of 1mm/d for each osteotomy *** The follow up ranged from 106 months(averaging 16months).All the soft tissue of the legs healed whileall the tibia defects were *** discrepancy of the two legs were within 2 *** Two-site osteotomy of bone transport is effective and will accelerate the healing of large defects of the tibia and soft tissue.