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| Comparative Analysis of Efficacy of Masquelet Technique and Ilizarov Technique in the Treatment of Chronic Osteomyelitis |
| HE Dong, LANG Zhigang, LIN Daqiang, et al |
| Sichuan Province Orthopedic Hospital, Sichuan Chengdu 610000, China |
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Abstract Objective: To compare the clinical efficacy of Masquelet technique and Ilizarov technique in the treatment of chronic osteomyelitis (CO). Methods: A total of 85 CO patients were randomly divided into two groups by random number table: M group (n=42, Masquelet technique) and I group (n=43, Ilizarov technique). The treatment effects, rehabilitation time, joint function, quality of life, and postoperative complications were compared between the two groups. Results: The excellent and good rate of treatment effect in group I was slightly higher than that in group M (P>0.05). Bone healing time and complete weight-bearing time in group I were longer compared to group M(P<0.05). There were no statistically significant differences in lowa knee score, lowa ankle score and WHOQOL-BREF scores between two groups before surgery (P>0.05), and the above scores in both groups were significantly higher after surgery than those before surgery (P<0.05). There was no significant difference in the changes in the lowa knee score, lowa ankle score, and WHOQOL-BREF score between the two groups before and after surgery (P>0.05). The needle tract infection rate in the I group was higher than that in the M group (P<0.05). Conclusion: Masquelet technology and Ilizarov technology are similar to the efficacy of CO treatment, but Masquelet technology has higher requirements for soft tissues, and patients need to have sufficient self-donor bone mass, which should be selected clinically according to the specific circumstances.
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2024, Vol. 30 
