摘要
目的：探讨双钢板内固定治疗股骨髁间C型骨折的临床疗效。方法：2005年4月~2010年4月,我院创伤科通过运用双钢板内固定治疗股骨远端C型骨折28例,按照Muller分型,C2型17例,C3型11例,外侧运用股骨远端锁定加压钢板,内侧辅以＂L＂形胫骨平台支持板固定。根据骨折固定情况于术后3 d开始CPM被动训练。术后随访观察骨折愈合情况及膝关节功能恢复情况。结果：28例患者均得到随访,随访时间为8~48个月,平均29个月,所有患者骨折均愈合,愈合时间为5~11个月。膝关节功能评价依据Karlstrom评价标准,优14例,良9例,可4例,差1例,优良率为82.1%。结论：采用双钢板内固定治疗股骨髁间C型骨折,能够达到骨折的解剖复位、牢固固定及早期功能锻炼的要求。
Objective：To investigate clinical effect of bilateral plate in the treatment of type-C distal femoral fractures.Methods：To analyze the 28 patients with type-C distal femoral fractures who were treated with bilateral plate from April 2005 to April 2010 in traumatology Department of our hospital,and according to Muller classification,there were C2 17 cases,C3 11 cases.All the patients were treated with internal fixation with lateral distal femur locking compression plate and support plate of ＂L＂ shape tibial plateau.According to the result of fracture fixation,the patients began to be trained with CPM after 3 days after operation.The conditions of fracture healing and knee function recovery were observed.Results：All of the 28 cases were followed-up for 8 to 48 months with an average of 29 months.And all the patients＇ fracture were healed in the time from 5 to 11 months.Depended on Karlstrom＇s scoring system of function of knee joint,14 cases ob-tained excellent,9 cases good,4 cases fair and 1 case poor,and the rate of excellent and good were 82.1%.Conclusion：Bilateral plate fixation for the treatment of type-C distal femoral fractures can provide satisfied clinical results such as anatomical reduction of fracture,firm fixation and early exercises.
出处
《中国医药导报》
CAS
2011年第24期39-41,共3页
China Medical Herald
关键词
骨折
股骨髁骨折
骨折固定术
Fractures
Distal femoral fractures
Fracture fixation
