治疗感染性骨不连伴大段骨缺损的探讨与思考

感染性骨不连伴大段骨缺损是目前临床骨科较为常见、多发、治疗极为棘手的病种之一,治疗方法多种多样,但疗效却不理想,且缺乏统一的诊治与疗效判断标准,总结、分析几种临床上主要治疗方法的利弊,为该病探寻一条微创、安全、并发症少及疗效确切的可靠治疗方法.随着对Ilizarov技术的基础与临床研究的不断深入,该技术在治疗传统方法难以治愈的疾病如四肢关节严重畸形、感染性骨不连或伴有骨缺损、皮肤软组织缺损等方面显示出自身的优势,为治疗疑难骨科疾病开辟了一条新的有效途径.

Discussion and Reflection on the Treatment of Infected Nonunion with Large Bone Defect

The treatment of infected nonunion with large bone defects is more common and extremely difficult disease in clinical orthopedics.The treatments varied and the effect is not ideal.It lacks a unified diagnosis and efficacy criteria.Advantages and cons of several major treatment methods are summarized and analyzed,one reliable method has been to find with a minimally invasive,safe,fewer complications and curative effects.With the deepening of the basic and clinical research of Ilizarov technique,the technology shows its own advantages and the traditional methods is difficult in the treatment of incurable diseases such as severe limb joints deformity,infected nonunion or skin and soft tissue defects.It has opened up a new effective way for treatment of incurable bone disease.