Objective To evaluate the treatment results of Ilizarov microcirculation reconstruction technique for chronic wounds in the post-traumatic ischemia limbs.Methods Between January 2016 and July 2019, 7 cases of chronic wounds in the post-traumatic ischemia limbs were treated. There were 5 males and 2 females, with an average age of 42.4 years (range, 29-66 years). The duration of the wound ranged from 1 month to 2 years (mean, 7.7 months). The wounds located in the leg (3 cases) or in the foot and ankle (4 cases). The wound sizes ranged from 4.0 cm×2.2 cm to 12.0 cm×7.1 cm. There were 1 case of tibial varus, 3 cases of equinovarus, 1 case of scleroderma, and 2 cases of Volkmann’s ischemic contracture. After debridement, external fixators were used for tibial transverse transport, or correction of tibial varus and correction of equinovarus.Results All patients were followed up 8-20 months, with an average of 13 months. The infection of wound surface was all controlled in 7 cases and the granulation tissue grew well; the wound surface healed directly in 5 cases and healed after skin grafting in 2 cases, and the wound healing time was 1-3 months (mean, 1.7 months). During the follow-up, there was no recurrence of the wound. Six cases of limb deformity were corrected.Conclusion For the chronic wounds in the post-traumatic ischemia limbs, Ilizarov microcirculation reconstruction technique can effectively improve local circulation and facilitate the fresh granule growth and wound healing.
Citation：
ZHU Yueliang, PU Shaoquan, XIA Shen, LÜ Qian, ZHAO Zeyu, CHEN Xiang, CHEN Hanfen, SUN Zili. Primarily application of Ilizarov microcirculation reconstruction technique for chronic wounds in post-traumatic ischemia limbs. Chinese Journal of Reparative and Reconstructive Surgery, 2020, 34(8): 974-978. doi: 10.7507/1002-1892.202003044
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花奇凯, 王林, 冼呈, 等. Ilizarov 胫骨横向骨搬移微循环重建技术治疗下肢慢性缺血性疾病的临床疗效. 中国矫形外科杂志, 2015, 23(21): 2007-2011.
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Patwa JJ, Krishnan A. Buerger’s disease (thromboangiitis obliterans)-management by Ilizarov’s technique of horizontal distraction. A retrospective study of 60 cases. Indian J Surg, 2011, 73(1): 40-47.
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郭保逢, 秦泗河. 后 Ilizarov 时代的微循环重建术. 中国矫形外科杂志, 2013, 21(15): 1546-1550.
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张定伟, 臧建成, 王振军, 等. Ilizarov 微循环重建技术治疗糖尿病足溃疡. 医学与哲学, 2015, 36(16): 19, 26.
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夏和桃. 实用骨外固定学. 北京: 人民卫生出版社, 2013: 158-173.
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郑学建, 秦泗河, 彭爱民, 等. 可调组合式下肢外固定支架的改良及临床应用. 中华创伤骨科杂志, 2011, 13(10): 906-910.
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于仲嘉, 曾炳芳, 何鹤皋. 桥式交叉吻合血管游离组织移植. 中华骨科杂志, 1994, 14(6): 332-335.
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朱跃良, 徐永清, 秦泗河. Ilizarov 器械、技术和哲学蠡测. 中国修复重建外科杂志, 2018, 32(10): 1238-1240.
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Solomin L. The basic principles of external skeletal fixation using the Ilizarov and other devices. 2nd ed. New York: Springer, 2012: 1437-1439.
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- 1. 曲龙, 王爱林, 汤福刚. 胫骨横向搬移血管再生术治疗血栓闭塞性脉管炎. 中华医学杂志, 2001, 81(10): 622-624.
- 2. 花奇凯, 王林, 冼呈, 等. Ilizarov 胫骨横向骨搬移微循环重建技术治疗下肢慢性缺血性疾病的临床疗效. 中国矫形外科杂志, 2015, 23(21): 2007-2011.
- 3. Patwa JJ, Krishnan A. Buerger’s disease (thromboangiitis obliterans)-management by Ilizarov’s technique of horizontal distraction. A retrospective study of 60 cases. Indian J Surg, 2011, 73(1): 40-47.
- 4. 郭保逢, 秦泗河. 后 Ilizarov 时代的微循环重建术. 中国矫形外科杂志, 2013, 21(15): 1546-1550.
- 5. 张定伟, 臧建成, 王振军, 等. Ilizarov 微循环重建技术治疗糖尿病足溃疡. 医学与哲学, 2015, 36(16): 19, 26.
- 6. 夏和桃. 实用骨外固定学. 北京: 人民卫生出版社, 2013: 158-173.
- 7. 郑学建, 秦泗河, 彭爱民, 等. 可调组合式下肢外固定支架的改良及临床应用. 中华创伤骨科杂志, 2011, 13(10): 906-910.
- 8. 于仲嘉, 曾炳芳, 何鹤皋. 桥式交叉吻合血管游离组织移植. 中华骨科杂志, 1994, 14(6): 332-335.
- 9. 朱跃良, 徐永清, 秦泗河. Ilizarov 器械、技术和哲学蠡测. 中国修复重建外科杂志, 2018, 32(10): 1238-1240.
- 10. Solomin L. The basic principles of external skeletal fixation using the Ilizarov and other devices. 2nd ed. New York: Springer, 2012: 1437-1439.
