Objective To discuss clinical outcomes of Ilizarov technique in managing large bone defect of tibial traumatic osteomyelitis. Methods From June 2010 to September 2014 we treated 15 patients with long bone defect of tibial traumatic osteomyelitis,according to the Cierny-Mader anatomical Classification. The osteomyelitis was of type Ⅲ in 6 cases and of typeⅣ in 9. They were treated by resection of the lesion segments and Ilizarov bone transportation,Bone lengthening distance,ex-ternal fixation time,bone healing and functional recovery were recorded and analyzed. Results The fifteen patients were fol-lowed up for 18 to 40 months,at the last follow-up,bone defect were achieved in all patients. The length of bone defect was 6 to 13 cm(average,8. 6 cm). The external fixation time was 8. 4 ~ 16. 5 months(avergue,11. 2 months). There were no cases of deep infection,nonunion or stiffness of the joint. According to the modified ASAMI criteria for bone healing,12 cases were ex-cellent,one good,one moderate,one poor,with an excellent to good rate of 87. 3% . The functional recovery was rated as excel-lent in 10 cases,good in 2,moderate in 3,giving an excellent to good rate of 80. 0% . Conclusion The Ilizarov bone transpor-tation is effective in treating tibial traumatic osteomyelitis with large bone defects.%目的：探讨应用 Ilizarov 骨搬移技术治疗胫骨创伤性骨髓炎大段骨缺损的临床疗效。方法回顾性分析2010年6月至2014年9月在我科收治15例胫骨创伤性骨髓炎患者，其中男11例，女4例；年龄17~60岁，平均39.3岁。交通事故伤9例，重物压砸伤4例，高处坠落伤2例。根据 Cierny-Mader 解剖学分型：Ⅲ型6例，Ⅳ型9例。采用病灶骨段切除、Ilizarov 骨搬移技术治疗，并记录骨段延长长度、外固定架时间、骨愈合及功能评价结果。结果15例患者均获随访，随访时间18~40个月，末次随访时，骨缺损均得以重建。骨缺损长度6~13 cm，平均8.6 cm。外固定架固定时间为8.4~16.5个月，平均11.2个月。术后无一例出现深部感染、骨不连或关节僵直。根据改良 ASAMI 评定标准评定骨性结果：优12例，良1例，中1例，差1例，优良率为87.3%；功能结果：优10例，良2例，中3例，差0例，优良率为80.0%。结论应用 Ilizarov 骨搬移技术是治疗胫骨创伤性骨髓炎大段骨缺损的有效方法。
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