CAJ | 학술논문

目的：评价应用组合式外固定架骨搬运术治疗股骨慢性骨髓炎的临床疗效。方法应用组合式外固定架骨搬运技术治疗13例股骨慢性骨髓炎清除后骨缺损，平均骨缺损长度8.7 cm。结果随访21~32个月，骨缺损接触并全部愈合，骨延长区骨生长满意，切口一期愈合，窦道和骨外露消失。骨延长6.8~14.5 cm，平均外固定指数19.7 d/cm。依据Paley 的评定标准进行骨愈合评定，优为11例，良为2例；功能评定优为9例，良为4例。结论组合式外固定架骨搬运术是治疗难治性股骨慢性骨髓炎可靠方法。
목적：평개응용조합식외고정가골반운술치료고골만성골수염적림상료효。방법응용조합식외고정가골반운기술치료13례고골만성골수염청제후골결손，평균골결손장도8.7 cm。결과수방21~32개월，골결손접촉병전부유합，골연장구골생장만의，절구일기유합，두도화골외로소실。골연장6.8~14.5 cm，평균외고정지수19.7 d/cm。의거Paley 적평정표준진행골유합평정，우위11례，량위2례；공능평정우위9례，량위4례。결론조합식외고정가골반운술시치료난치성고골만성골수염가고방법。
Objective To evaluate the clinical effect of bone transport by composite external fixator on chronic osteomyelitis of femur. Methods Thirteen patients with bone defect of femur after chronic osteomyelitis were treated by bone transport with composite external fixator. The mean length of the bone defect was 8. 7 cm. Results All patients were followed up for 21-32 months. The bone lengthening area grew well,the length of callus distraction was 6. 8~14. 5 cm,and the mean radiographic con-solidation index was 19. 7 d/cm. According to the Paley’s criteria,the healing effect of 10 cases was excellent,and that of the rest 3 cases was good. The functional recovery of 9 cases was excellent,and that of the rest 4 cases was good. Conclusion Bone trans-port by composite external fixator is a reliable method in the reconstruction of bone defect caused by chronic osteomyelitis.