摘要
目的探讨手术治疗漂浮膝损伤的方法和疗效。方法对33例漂浮膝损伤的患者,根据骨折部位、骨折类型及软组织损伤情况,使用股骨加压钢板-胫骨外固定架固定6例,股骨交锁髓内钉-胫骨外固定架固定10例,股骨交锁髓内钉-胫骨交锁髓内钉固定15例,股骨交锁髓内钉-胫骨髁钢板内固定2例。结果3例失访,30例经1～5年随访,平均2年9个月,优良率86.7%。结论早期手术治疗有利于严重多发伤的治疗和关节功能的恢复,手术方法应根据骨折部位、类型及软组织损伤情况,采用合适的方法。
Objective To investigate the operation method and effect of floating knee. Methods 33 cases of floating knee were recruited and treated with variant methods according to fracture site, type, and soft tissue injury. 6 cases were treated with femoral compression plate and tibial external fixation, 10 with femoral interlocking intramedullary nail and tibial external fixation, 15 with femoral interlocking intramedullary nail and tibial interlocking intramedullary nail, and 2 with femoral interlocking intramedullary nail and tibial condylar plate. Results 30 cases were followed up for 1 - 5 years, 2. 75 on average. The excellent and good rate was 86.7%. Conclusions Early operation is beneficial for the treatment of multiple injuries and joint function recovery. The operation method should be selected according to fracture site, type, and soft tissue injury.
出处
《临床骨科杂志》
2005年第5期445-446,共2页
Journal of Clinical Orthopaedics
关键词
漂浮膝
多处创伤
骨折固定术
floating knee
muhiple trauma
fracture fixation
