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Management of Nonunion of Tibia by Ilizarov Technique

机译:Ilizarov技术管理胫骨骨不连

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摘要

This prospective study was carried out during the period of January 2007 to December 2011 in Mymensingh Medical College Hospital and other private clinics of Mymensingh town to assess the results of Ilizarov technice for nonunion of the tibia. Here total operated patient were 30, of them 24 were male and 6 were female. 10 cases are hypertrophic, 8 cases are atrophic and 12 cases are infected nonunion. In this series age of the patients was 10 ? 60 years. Motor vehicle accident was the commonest cause of fracture found in 66.67% cases. Second most common cause of injury was fall from height. Among 30 patients proximal corticotomy was done in 24 patient and distal corticomy in 2 patient. Union time was 4-12 months. Among 30 patients 27 were united at initial procedure. From nonunited 3 cases again refreshening of the ends along with bone grafting was done and ultimately 2 were united and 1 remains nonunited. In this series limb length discrepancy reduced to maximum 1.5 cm with contralateral limbs. Average total hospital stay was 15 days. Pin site infection and pain were the commonest complications in our study. Close adherences to Ilizarov principles make it now possible to successfully treat a most of orthopaedic conditions that previously were fraught with high morbidity rates and poor results. DOI: http://dx.doi.org/10.3329/cbmj.v2i2.16697 Community Based Medical Journal 2013 July: Vol.02 No 02: 41-45
机译:这项前瞻性研究于2007年1月至2011年12月期间在Mymensingh医学院医院和Mymensingh镇的其他私人诊所进行,以评估Ilizarov technice治疗胫骨骨不连的结果。在这里,总手术患者为30名,其中男性24名,女性6名。肥大性10例,萎缩性8例,感染性骨不连12例。在这一系列的患者年龄是10? 60年在66.67%的案例中,机动车事故是造成骨折的最常见原因。第二个最常见的受伤原因是从高处摔下。在30例患者中,24例进行了近端皮质切开术,2例进行了远端皮质切开术。工会时间为4-12个月。在30例患者中,有27例在初始过程中被联合。从3例未合并的病例中,再次进行了端头的更新以及植骨,最终2合并了,而1仍未合并。在该系列中,对侧肢体的肢体长度差异最大减少到1.5 cm。平均总住院时间为15天。钉位感染和疼痛是我们研究中最常见的并发症。严格遵守Ilizarov原则,现在可以成功治疗以前因高发病率和不良结果而困扰的大多数骨科疾病。 DOI:http://dx.doi.org/10.3329/cbmj.v2i2.16697基于社区的医学杂志2013年7月:Vol.02 No 02:41-45

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