골결손과 연부 조직 결손을 동반한 경골 불유합의 Ilizarov 기구를 이용한 단독 치료와 유리 피판술과의 병행 치료시의 비교 : 유리 피판술 시행여부에 따른 Ilizarov 외고정기구를 이용한 골연장술의 비교

Abstract

Purpose : To statistically analyze the advantages of distraction osteogenesis in combination with free flap in the treatment of tibial open fracture with bone and soft tissue defect.

Materials and Methods : Twenty patients with tibial open fracture with bone and soft tissue defect were treated by distraction osteogenesis with or without flap. Patients were followed up for a minimum of 12 months and retrospectively analyzed, for the admission period, the out patient follow-up period, and the intravenous antibiotic period, and distraction consolidation indices were determined.

Results : Those treated with free flap showed statistically significance shorter antibiotic period, admission period, and distraction consolidation indices.

Conclusion : Free flap and distraction osteogenesis with an Ilizarov external fixator has many advantages for treating tibial open fracture with bone and soft tissue defect.