摘要
目的:研究外固定架治疗全膝关节假体置换术后股骨髁上骨折的治疗方法。方法:2005年6月至2007年6月,对7例全膝关节假体置换术后股骨髁上骨折应用外固定支架,其中男4例,女3例;年龄55～85岁,平均71岁。研究其骨折愈合情况,并采用HSS评分评价膝关节功能恢复及并发症情况,进行疗效追踪观察。结果:所有患者获得随访,时间6～23个月,平均12.5个月。患者骨折均愈合时间6～12周,平均8.5周。随访期内无感染及松动发生,1例皮肤钉道口延迟愈合。根据膝关节HSS评分标准,膝关节术前评分(60.6±16.0)分,术后评分(77.6±11.6)分,术前后差异具有统计学意义(t=0.67,P<0.05);其中,优2例,良4,可1例。结论:应用外固定治疗全膝关节假体置换术后股骨髁上骨折,特别对于身体条件较差、不能耐受手术高龄患者是一种较适合的治疗方法。
Objective：To explore the external fixation for treatment of supracondylar femoral fractures after total knee replacement. Methods：From June 2005 to July 2007,7 cases of supracondylar femoral fracture after total knee replacement were treated with external fixation included 4 males and 3 females with an average age of 71 years ranging from 55 to 85 years. The fracture healing were observed and the knee function were evaluated by the HSS scoring. Results：All patients were followed-up for 6 to 23 months with an average of 12.5 months. The fracture healing time was from 6 to 12 weeks after operation（averaged 8.5 weeks）. During the followed-up period,there were no infection and loosening,only one case occurred nail crossing delayed healing of skin. The HSS knee score was （60.6±16.0） before treatment and （77.6±11.6） after treatment according to HSS knee score criteria,the results were excellent in 2 cases,good in 4,and fair in 1. Conclusion：Application of external fixation for treatment of supracondylar femoral fracture after total knee replacement,especially in poor physical condition,high age patients is a more appropriate treatment.
出处
《中国骨伤》
CAS
2010年第5期376-378,共3页
China Journal of Orthopaedics and Traumatology
关键词
关节成形术
置换
膝
股骨骨折
外固定器
Arthroplasty,replacement,knee
Femoral fractures
Externalfixators
