摘要
目的探讨Hoffa骨折的治疗方法及临床疗效。方法回顾性分析2009年2月至2011年9月收治的13例Hoffa骨折16髁。按照Letenneur分型:Ⅰ型骨折9髁,Ⅱ型4髁,Ⅲ型3髁。8例(11髁)选择松质骨螺钉固定,5例(5髁)LetenneurⅠ型骨折选择空心拉力螺钉联合侧方支持钢板固定治疗。结果本组所有患者均得到随访,随访11~26个月,平均(16.4±3.27)个月,所有患者均获得骨性愈合。按Hoffa骨折术后功能恢复评估系统评估,优8例,可3例,差2例。结论螺钉固定或侧方钢板联合螺钉固定治疗Hoffa骨折具有固定牢固可靠、允许术后早期负重锻炼的优点。
Objective To discuss the treatment of Hoffa fracture and the clinical efficacy. Methods Thir- teen patients （16 condyles） treated in out hospital from February 2009 to September 2011 were enrolled in this study. According to Letenneur＇s classification, there were 9 condyles of type I, 4 condyles of type II, 9 condyles of type III. Eight patients （11 condyles） were treated with cancellous screws, and five patients （five condyles） were treated with condylar buttress plate. Results All the patients were followed up for an average of （I 6.4^-3.27） months （11 to 26 months）. During the follow-up, all the patients obtained bony union. According to Letenneur＇s functional assess- ment system, 8 were evaluated as excellent or good, 3 poor and 2 bad. Conclusion It is effective and stable to treat Hoffa fracture with screws or condylar buttress plate.
出处
《海南医学》
CAS
2012年第17期54-56,共3页
Hainan Medical Journal
