摘要
目的 探讨腓骨移植和钢板内固定治疗股骨远端Neer Ⅲ型骨折的疗效.方法 取自体长段腓骨作髓内移植,利用钢板、骨栓、螺钉锁定固定,治疗Neer Ⅲ型骨折患者24例,用单侧钢板锁定固定10例,双侧钢板锁定固定14例.个性化康复方案康复,早期行膝关节功能锻炼.结果 24例均获随访18～54个月,骨折均愈合.参照Shelbourne疗效评定标准,优8例,良14例,可1例,差1例.结论 该方法解决了此类骨折治疗中骨折复位、肢体力线、骨缺损修复、钢板牢固固定、膝关节早期功能锻炼和骨折愈合等难以兼顾的问题,是治疗该类骨折的有效方法.
Objective To investigate the effect of fibular transposition and plating for the treatment of Neer Ⅲ distal femoral fracture. Methods 24 cases with Neer Ⅲ distal femoral fractures were treated with intramedullary fibular autograft, and internal fixation with plate, bone bolts and locking screws, of which 10 were fixed with unilateral plating, 14 with bilateral plating. With individual procedure, all were trained with early knee function exercises. Results 24 cases were followed up for 18 -54 months, and all got bony union. According to Shelbourne effect evaluation system, the results were excellent in 8 cases, good in 14, fair in 1 and poor in 1. Conclusions This method can solve the difficulties of reduction, stress line restoration, bone defect repairing, rigid plating, early knee functional exercising and fracture healing, which is an effective way for the treatment of this kind of fractures.
出处
《临床骨科杂志》
2006年第3期207-208,共2页
Journal of Clinical Orthopaedics
关键词
腓骨/移植
髓内钉
钢板
股骨骨折
fibula/transplantation
intramedullay nail
plate
femoral fractures
