■股骨和胫骨骨折可导致延迟愈合和骨不连。在骨科实践中提出了重大挑战。Ilizarov技术已成为管理这些复杂情况的有希望的解决方案。
■评估Ilizarov固定治疗胫骨和股骨骨折不愈合的影像学和功能结果。
■回顾性研究。
■大学附属医院。
■患者人口统计,断裂特征,我们分析了2015年10月至2022年9月期间使用Ilizarov固定器治疗胫骨和股骨骨不连的患者的治疗细节.使用Ilizarov方法研究和应用协会(ASAMI)标准进行临床和放射学评估。这项研究的重点是评估工会和框架移除的平均持续时间,骨结果,成功的工会率,和使用ASAMI标准的功能结果,从现有的医疗记录中获取数据,跨越治疗骨不连骨折的各种医疗设施。
■126名患者。
■联合和帧去除的平均持续时间为8个月,在60.32%的病例中观察到优异的骨效果。126名患者中,118取得了成功的工会,而有2例失败病例需要截肢(1.52%)。功能结果显示,39.68%的病例具有良好的预后。并发症包括针道感染,脚踝和膝盖僵硬,和肢体缩短。外固定架持续时间和感染根除与以往研究一致。强调技术的有效性。
■Ilizarov技术在治疗胫骨和股骨骨折方面非常有效,在工会方面提供有利的结果,感染控制,疼痛缓解,功能恢复。虽然优秀的骨骼结果并不能保证最佳功能,这种方法对于复杂情况仍然是一种可靠的方法。
■回顾性分析固有的潜在偏差,以及需要进一步的随机对照试验来全面比较治疗方式。
UNASSIGNED: Femoral and tibial fractures may result in delayed union and nonunion, posing significant challenges in orthopedic practice. The Ilizarov technique has emerged as a promising solution for managing these complex cases.
UNASSIGNED: Evaluate the radiographic and functional results of Ilizarov fixation in the treatment of nonunion of tibia and femur fractures.
UNASSIGNED: Retrospective.
UNASSIGNED: Hospitals affiliated with a university hospital.
UNASSIGNED: Patient demographics, fracture characteristics, and treatment details were analyzed for the period from October 2015 to September 2022 in patients who were treated for nonunion of the tibia and femur using the Ilizarov fixator. Clinical and radiological assessments were performed using the Association for the Study and Application of Methods of Ilizarov (ASAMI) criteria. The study focused on assessing the average duration for union and frame removal, bone results, successful union rates, and functional results using the ASAMI criteria, obtaining data from the existing medical records, spanning various medical facilities treating nonunion fractures.
UNASSIGNED: 126 patients.
UNASSIGNED: The average duration for union and frame removal was 8 months, with excellent bone results observed in 60.32% of cases. Out of 126 patients, 118 achieved successful union, while there were 2 failure cases necessitating amputation (1.52%). Functional results revealed excellent outcomes in 39.68% of cases. Complications included pin tract infections, ankle and knee stiffness, and limb shortening. External fixation duration and infection eradication were consistent with previous research, emphasizing the technique\'s effectiveness.
UNASSIGNED: The Ilizarov technique proved highly effective in managing nonunion tibia and femur fractures, offering favorable outcomes in terms of union, infection control, pain relief, and functional recovery. While excellent bone outcomes do not guarantee optimal function, this method remains a reliable approach for complex cases.
UNASSIGNED: Potential biases inherent in retrospective analyses and the need for further randomized controlled trials to comprehensively compare treatment modalities.