ABSTRACT
<p><b>OBJECTIVE</b>To investigate the efficacy of the application of transosseous osteosynthesis with annular external fixator for the treatment of traumatic large bone defects of the tibia.</p><p><b>METHODS</b>From 2002 to 2011,17 cases of traumatic tibial long bone defect were treated by transosseous osteosynthesis with annular external fixator including 11 males and 6 females with an average age of (31.00+/-2.35) years old ranging from 22 to 45 years. The length of defect was from 5 to 13.1 cm with an average of (7.50+/-1.01) cm. The fixed time,bone healing time and the extend length of the affected limb were observed, and the degree of recovery of limb function after surgery were assessed ccording to the Paley's limb function evaluation.</p><p><b>RESULTS</b>All patients were followed up from 12 to 48 months with an average of (30.00+/-2.35) months, the bone defects of 17 patients achieved bone healing. The average bone healing time was (10.10+/-0.59) months (8 to 15 months); the average time of fixed time was (14.10+/-0.65) months (12 to 16 months); the average extend length of the affected limb was (7.50+/-1.01) cm. The results of Paley's functional evaluation was excellent in 9 cases,good in 6,fair in 2.</p><p><b>CONCLUSION</b>Transosseous osteosynthesis with annular external fixator is an effective method for treatment of large bone defects of the tibia. It is successful reconstruction of limb length, simple operation, less soft tissue injury,and is clinical worthy of promotion.</p>
Subject(s)
Adult , Female , Humans , Male , Middle Aged , External Fixators , Fracture Fixation, Internal , Tibia , Wounds and Injuries , General Surgery , Wound HealingABSTRACT
<p><b>OBJECTIVE</b>To explore suitable scaffold material for big segmental long bone defect by studying the properties of the prepared deproteinized bone.</p><p><b>METHODS</b>Cancellated bone were made as 30 mm x mm x 3 mm bone blocks from inferior extremity of pig femur along bone trabecula. The deproteinized bone was prepared with an improved method. Their morphological features, components, cell compatibility, mechanical and immunological properties were investigated respectively.</p><p><b>RESULTS</b>Deproteinized bone maintained natural reticular pore system. The main organic material is collagen I and inorganic composition is hydroxyapatite. It has good mechanical properties, cell adhesion rate and histocompatibility.</p><p><b>CONCLUSION</b>This deproteinized bone can be applicable as scaffold for reparation of big segmental defect in long bone.</p>