摘要
目的探讨胫骨上段粉碎骨折合并腘动脉损伤的疗效。方法回顾性分析我院2000年1月至2009年1月治疗12例胫骨上段粉碎性骨折合并腘动脉损伤患者的临床资料，总结其临床特点及手术治疗策略。结果本组临床特点除血管损伤外常伴严重粉碎骨折或关节脱位；血管损伤发病率较高，且具有断裂、破裂、血管内膜损伤伴血栓形成等不同损伤类型；伤口污染重；肢体缺血及下肢软组织损伤严重；易发生深静脉血栓。平均随访9个月（7～15月），患肢均存活并获骨性愈合，无感染、内固定断裂、畸形愈合及再骨折发生。膝关节功能（KSS）平均评分为84分；疗效优8例，良4例；3例术后膝关节积液，穿刺抽液后好转；全部患者膝关节无内外翻畸形，主动伸展受限小于30°。结论胫骨上段粉碎性骨折合并腘动脉损伤采取积极手术治疗可获得满意的临床疗效。
Objective To discuss the curative effect of comminuted fracture at proximal tibia with popliteal artery injury. Methods Twelve patients suffered from comminuted fracture at proximal tibia with popliteal artery injury accepted external fixture and blood circulation reconstruction from January 2000 to January 2009. The clinical Results were observed. Results All patients received a follow-up for 9 months on average （7 - 15 months）. None of the patients had infection,fracture of internal fixation, malunion and refracture. All cases got bone union. The KSS score was 84 on average,including excellent in 8 cases,good in 4 cases. Knee effusion occurred in 3 cases. The limit of active motion of the joint was less than 30°. Conclusion For comminuted fracture at proximal tibia with popliteal artery injury, external fixture has the advantages of short operative time and stable curative effecto
出处
《实用医院临床杂志》
2011年第1期72-73,共2页
Practical Journal of Clinical Medicine
关键词
胫骨上段粉碎骨折
腘动脉损伤
治疗
Comminuted fracture at proximal tibia
Popliteal artery injury
Treatment
