摘要
目的 探讨陈旧性股骨干骨折合并不同程度的膝关节僵直的治疗方法。方法 对 45例陈旧性股骨干骨折患者 ,采用内固定植骨后松解股四头肌及膝关节内的粘连 ,辅以髌骨牵引持续 1～ 2周。结果 45例随访平均 2年 2个月 ,所有骨折在术后 3 5～ 6个月内愈合 ,膝关节功能由术前的屈曲2 8°增至 110° ,平均进步 82°。结论 髌骨牵引可以使挛缩的股四头肌延长 ,且不影响骨折内固定的稳定性 。
WT5”BZ][HT5”H]Objective [HT5”SS]To study the treatment of the old femoral fractures combined with stiff knee in varying degrees.[HT5”H]Methods [HT5”SS]45 cases of old femoral shaft fractures were treated.After fixation of the fracture,transplantation of the spongy bone adherence relaxation of the quadriceps and the knee joint,a patella traction was applied for 1～2 weeks.[HT5”H]Results [HT5”SS]The mean period of follow up was 2 years and 2 months,the fractures in 45 cases healed up in 3 5～6 months.The average flexion function of the knee joint increased 82° (from 28° to 110°).[HT5”H]Conclusion [HT5”SS]The patella traction could extend the contracted muscle without affecting the stability of the internal fixation of the fracture,meanwhile,the fracture healing and the functional rehabilitation of the knee proceeded and completeed simultaneously. [WT5”HZ]
出处
《中国骨伤》
CAS
2000年第10期590-591,共2页
China Journal of Orthopaedics and Traumatology
