Ilizarov combined with VSD technique for the treatment of tibial bone defect combined with soft tissue defect
HU Ke-zhi
GONG Zhen-yu
GAN Gan-da
LUO Ping
FENG Xiao-yan
HAN Jian
XIE Xiao-jun
Abstract：Objective To investigate the effect of Ilizarov and VSD technique in the treatment of tibial bone defect combined with soft tissue defect.Methods A total of 28 patients(18 males and 10 females aged from 13-62 years with an average of 37.6 years) with tibial bone defect combined with soft tissue defect were fixed with Ilizarov and VSD technique from Feb.2011 to Jul.2014.The length of bone defect was 2.5-10.8 cm ( average, 6.7cm) and the soft tissue defect areas ranged from 1.5cm ×3.5cm to 4.5cm ×8.8cm(average,2.7cm ×6.4cm). Thorough debridement of the bone defects was completed. Infected and severely crushed bone chips were cleared and metaphyseal tibial osteotomy was performed.External fixation was made with Ilizarov external fixator.VSD ma-terial was employed to cover the wound.Bone and soft tissue infection and defect were treated at the same time. Results All patients were followed up for an average of 15 months(5-23months),which showed reconstruction of the bone defects and restoration of the limb length were achieved( fracture healing was acquired and the length differ-ence was less than 1.5 cm).External fixation index was from 1.3 month/cm to 2.5 month/cm( average,2.05 month/cm) .Conclusion Ilizarov combined with VSD technique has good effect in the treatment of tibial bone de-fect combined with soft tissue defect,which simultaneously achieved the treatment of bone and soft tissue defects.
Keywords：tibiabone defectsoft tissue defectIlizarov techniqueVSD techniqueexternal fixation
Publication Date：2015-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：4( 225-228 )