改良的Ilizarov技术治疗胫骨髁骨折的疗效评价

J. Sharma, P. Upadhyaya, Ajay Mandloi
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引用次数: 0

摘要

胫骨髁骨折变得更具挑战性时,他们的软组织受损。我们的目的是用Ilizarov环固定器和我们改良的技术来评估这种骨折,以获得更好的结果。我们的研究包括2017年12月至2021年5月由同一外科医生和团队使用Ilizarov治疗的54例胫骨近端骨折。平均放射愈合时间为24.37周(15 ~ 35周)。我们在放射愈合后21天取出Ilizarov固定架。功能评分使用两个分数计算:Hohl和Luck分数和Lyshom分数。优12例,良28例,一般14例,无不良患者。Lyshom的平均得分为81.73。患者膝关节活动范围最大为0 ~ 110度。很少有并发症,比如伸肌迟滞通过物理治疗得到了纠正。针道感染,少量敷料即可愈合。Ilizarov环固定器是胫骨平台骨折的最佳手术选择,特别是软组织受损。通过我们的改造,我们可以实现完美的关节对齐和早期负重。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Evaluation of tibial condyle fractures treated with primary Ilizarov with a modified technique
Tibial condyle fractures become more challenging when they present with damaged soft tissue. Our aim is to evaluate such fractures with Ilizarov ring fixator along with our modified technique to give better outcome.: Our study included 54 cases with proximal tibia fracture treated with Ilizarov by same surgeon and team from December 2017 to May 2021.: Mean time for radiological union was 24.37 weeks (15 to 35 weeks). Ilizarov fixator we have removed 21 days after radiological union. Functional score was calculated using two scores: Hohl and Luck score, and Lyshom’s score. 12 has excellent, 28 good, 14 were fair and no patient with poor result. Mean Lyshom’s score was 81.73. Knee range of movement in maximum patients were 0 to 110 degree. There was few complications, like, Extensor lag which got corrected with physiotherapy. Pin tract infection which healed with few dressings. Ilizarov ring fixator is an excellent option for Tibial Plateau fractures as a definitive surgery especially with damaged soft tissue. And with our modification we can achieve perfect joint alignment and early weight bearing.
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