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| Influences of Bone Cement Combined with IlizarovTechnology on DiseasedLimb Function and Bacterial Content of Wound in Patients with Tibia Chronic Osteomyelitis |
| WANG Hua, ZHOU Caisheng, ZHANG Kun |
| China Three Gorges University People's Hospital / Yichang First People's Hospital, Hubei Yichang 443000, China |
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Abstract Objective: To investigate the influences of bone cement combined with Ilizarovtechnology on the diseasedlimb function and bacterial content of wound in patients with chronic osteomyelitis. Methods: 62 cases of patients with chronic osteomyelitis of tibia from January 2015 to February 2018 were randomly divided into two groups, 31 patients in the control group were treated with Ilizarov bone graft technology, and 31 patients in the observation group were treated with antibiotic bone cement chain bead implantation on the basis of the control group.The times of dressing change, the time of using antibiotics, the time of wound healing and the length of stay, the diseasedlimb functional recovery, the recovery of joint function, the detection rate of bacteria and the quality of life were compared. Results: The times of dressing change, the time of using antibiotics, the time of wound healing and the length of stay in the observation group were less than those in the control group (P<0.05); the excellent and good rate of diseased limbfunctional recovery in the observation group was 93.55%, which was higher than 74.19%in the control group (P<0.05); after treatment, the two groups of knee joint score of New York Special Surgery Hospital (HSS) and ankle joint function score (Baird-Jackson) were higher than those before treatment (P<0.05), and the observation group was higher than that of the control group (P<0.05); the detection rate of bacteria in the observation group was 6.45%, which was lower than 32.26% in the control group (P<0.05); after the treatment of the two groups, the score of the quality of life of WHO (WHOQOL-BREF) was higher than that before the treatment (P<0.05), and the observation group was higher than that of the control group (P<0.05). Conclusion: Bone cement combined with Ilizarov technology in treating chronic osteomyelitis can not only promote the recovery of diseased limb function, reduce pathogenic bacteria, but also effectively improve the quality of life of patients.
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2019, Vol. 25 
