天津医院创伤骨科舒衡生Ilizarov技术修复胫骨骨缺损骨缺损的定义NauthA,McKeeMD,EinhornTA,WatsonJT,LiR,SchemitschEH.Managingbonedefects.JOrthopTrauma.2011Aug;25(8):462-6.缺损大于2cm，超过骨周径的50%病因开放骨折—节段性—清创后—爆炸伤感染肿瘤切除骨坏死流行病学KeatingJFetal.Themanagementoffractureswithboneloss.JBJSBr.2005Feb;87(2):142-50.骨折伴有骨缺损10%22%68%胫骨股骨其他治疗KeatingJFetal.Themanagementoffractureswithboneloss.JBoneJointSurgBr.2005Feb;87(2):142-50.髓内钉Robinsonetal.Tibialfractureswithbonelosstreatedbyprimaryreamedintramedullarynailing.JBJSBr.1995Nov;77(6):906-13.Gustilo-IlIb,骨缺损<2.5cm，髓内钉固定，35周后骨折愈合钢板股骨远端开放粉碎骨折，动力髁钢板固定，最终愈合KeatingJFetal.Themanagementoffractureswithboneloss.JBoneJointSurgBr.2005Feb;87(2):142-50.带血管蒂的腓骨移植25Y，男性，Ewing肉瘤，肿瘤切除后采用带血管蒂的腓骨移植。术后5年S.Mottardetal.Biologicalreconstructionafterexcision,irradiationandreimplantationofdiaphysealtibialtumoursusinganipsilateralvascularisedfibulargraft.JBoneJointSurgBr.2012Sep;94(9):1282-7b腓骨横向搬移7岁，男孩车祸致伤双下肢Grade-IIIBShihaAEetal.MedialtransportofthefibulausingtheIlizarovdeviceforreconstructionofamassivedefectofthetibiaintwochildren.JBJSBr.2008Dec;90(12):1627-30腓骨向内搬移术后2年完全愈合腓骨增粗牵拉成骨“tension-stress”张力-应力法则机械性诱导新骨形成血管再生细胞的快速分裂和“返祖”现象膜内成骨Ilizarov骨搬移技术修复骨缺损环及牵张的橄榄针低能量的截骨术潜伏期0.25mmQ6HMonofocal骨缺损周围的两节段骨相互对合加压，会导致短缩。RobertRozbruchS.SimultaneousTreatmentofTibialBoneandSoft-tissueDefectsWiththeIlizarovMethod.JOrthopTrauma.2006Mar;20(3):197-205Bifocal一处截骨，截骨远离缺损部位，中间的骨块向远离截骨部位的方向搬移，在骨缺损部位加压IlizarovBoneTransportTreatmentforTibialDefects.Paley,Dror;Maar,Dean。JournalofOrthopaedicTrauma.14(2):76-85,February2000.Trifocal两处截骨搬移，速度提高1倍美国纽约特种外科医院的病例（HospitalForSpecialSurgery）穿针-近端膝关节关节面下1-2cm，髌腱的前外侧，...
