The Clinical Studies Of Shortening-to Extend The Treatment Of Tibial Bone Defects And Soft Tissue Defects

Objective: Investigate the shortening-extend local flap+clinical efficacy for thetreatment of tibial bone defect associated with soft tissue defects of the bone graft, andprovide a reference for clinical select the appropriate method.Method: Retrospective analysis the osteopathic hospitals from January2000to December2012Wendeng met the inclusion and exclusion criteria were treated tibial defect associatedwith soft tissue defects in42cases, divided into two groups of A, B,21cases in each group.Group A using shortening-lengthening surgery cases, group B with local flap transfer+bone graft surgery way cases. Record general clinical data of the three groups of patients,the length of the bone defect area of soft tissue defects, operative time, blood loss, bonehealing results, postoperative limb function recovery of the comparative analysis.Results: Two groups of42cases of patients were followed up for soft tissue defects allbeen fixed, A group1patients without bone healing and B group2patients did not achievebone healing.1、operative time: A group average surgery time152.14min, B group the mean operativetime182.38min. A mean operative time was significantly lower than group B, and there isa statistically significant difference (P <0.05).2、Intraoperative blood loss: A group average intraoperative blood loss for321.43ml Bgroup average intraoperative blood loss was464.29ml. A group average intraoperativeblood loss was significantly lower than in group B, and a statistically significant difference(P <0.05).3、bone healing outcome evaluation: A group were excellent in14cases, good in4cases,2cases and poor in1case, the B group was excellent in12cases, good in4cases, in3cases and poor in2cases. A group of bone healing the result excellent rate was significantly higher than that in group B, and there is a statistically significant difference (P<0.05).4、Postoperative functional recovery results evaluation, the A group were excellent in15cases, good in3cases,3cases and poor in0cases in group B as excellent in13cases,good in3cases,4cases,1poor. A group of functional recovery after the results ofevaluation of excellent rate was significantly higher than that in group B, and there is astatistically significant difference (P <0.05).Conclusion: Shortening-extended surgical procedure in the treatment of the tibial defectassociated with soft tissue defects in operative time, intraoperative blood loss, bone healingresults, functional recovery outcome evaluation were good evaluation of the treatment oftibial bone defects and soft tissue defects agood method.