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| Efficacy Analysis of Masquelet and Ilizarov Technique in the Treatment of Adult Bone Defect of Long Bone of Lower Extremity |
| YANG Lidan, ZOU Gang, HE Wenbin, et al |
| The Affiliated Hospital of Zunyi Medical College, Guizhou Zunyi 563000, China |
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Abstract Objective: To compare the clinical effect of Masquelet and Ilizarov technique in the treatment of adult bone defect of long bone with long bone. Methods:A retrospective analysis was made of 38 patients with long bone infection of the lower extremities from July 2014 to September 2017 with Masquelet and Ilizarov techniques, of which 16 were treated with Masquelet, and 21 were treated with Ilizarov. The complications, bone healing time, total weight bearing time, knee and ankle Iowa scores and SF-36 scores before and last follow-up were compared between the two groups. Results:In group 5~10cm, the bone healing time and weight bearing time in Ilizarov group were better than those in Masquelet group (P < 0.05). In bone defect group 10~15cm, Masquelet group had better bone healing time and weight-bearing time than P Technology (P < 0.05). The two methods made the patients' knee, ankle Iowa score, SF-36 score, and the last follow-up better than the preoperative. Conclusion:The treatment of Masquelet and Ilizarov have a good effect on the adult bone defect of long bone. Patients with more bone defects use Masquelet technology, and Ilizarov technology is used for patients with poor skin and soft tissue condition, severe infection, lack of autogenous bone and less bone defect.
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2018, Vol. 24 
