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Application of a pre-filled tissue expander for preventing soft tissue incarceration during tibial distraction osteogenesis

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World Journal of Clinical Cases 2020年第11期8卷 2181-2189页

作者： Hui Chen Xing Teng Xiao-Hua Hu Lin Cheng Wei-Li Du Yu-Ming Shen Department of Burns and Plastic Surgery Beijing Jishuitan HospitalBeijing 100035China Department of Traumatic Orthopedics Beijing Jishuitan HospitalBeijing 100035China

BACKGROUND Bone transport and distraction osteogenesis has been widely used to treat bone defects after traumatic surgery,but,skin and soft tissue incarceration can be as high as 27.6%.AIM To investigate the efficacy of inserting a tissue expander to prevent soft tissue *** Between January 2016 and December 2018,12 patients underwent implantation of a tissue expander in the subcutaneous layer in the vicinity of a tibial defect to maintain the soft tissue in position.A certain amount of normal saline was injected into the tissue expander during surgery and was then gradually extracted to shrink the expander during the course of transport distraction *** tissue expander was removed when the two ends of the tibial defect were close *** In all 12 patients,the expanders remained intact in the subcutaneous layer of the bone defect area during the course of transport distraction *** bone transport was adequate,the expander was removed and the bone transport process was *** the whole process,there was no incarceration of skin and soft tissue in the bone defect *** occurred in one patient,who experienced poor wound *** The pre-filled expander technique can effectively avoid soft tissue *** authors’primary success with this method indicates that it may be a valuable tool in the management of incarcerated soft tissue.

关键词： tissue expander Tibial defect Bone transport skin and soft tissue incarceration Distraction osteogenesis

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