角度钢板与解剖钢板治疗股骨髁部C 型骨折疗效对照研究  

Treatment of type C fracture of supracondylar and intercondylar femur with anatomical plate and blade-plate: a comparison analysis

作　　者：刘明廷[1] 刘永涛[1] 戚大春[1] 朱晓东[1] 孟涛[1] 刘涛[1] 黄秀芝[1] 张霞[1] 

机构地区：[1]滨州医学院附属医院骨科,山东省滨州市256603

出　　处：《中华创伤骨科杂志》2005年第8期734-736,共3页Chinese Journal of Orthopaedic Trauma

摘　　要：目的探讨应用股骨髁部角度钢板与解剖钢板治疗股骨髁部C型骨折的疗效差异。方法对我院1993年12月～2003年6月间治疗的股骨髁部C型骨折患者56例进行回顾性研究。将患者分两组,一组为切开复位角度钢板内固定(23例),另一组为切开复位解剖钢板内固定(33例)。通过随访收集56例患者相关临床资料、临床表现及影像学资料,并进行膝关节活动度测定,应用t检验和χ2检验比较两组关节活动度差异和患膝功能康复情况。结果术后患者的膝关节平均活动度:角度钢板内固定组为57.17°±17.63°,解剖钢板内固定组为86.09°±26.55°;解剖钢板内固定组患膝功能康复的优良率为90.9%,而角度钢板内固定组的优良率为73.9%。t检验和χ2检验结果证明,两组膝关节术后平均活动度及患膝功能康复程度差异均有显著性意义(P<0.05)。应用解剖钢板组术后膝关节平均活动度及患膝功能康复明显优于角度钢板组。结论应用解剖钢板内固定比角度钢板内固定治疗股骨髁部C型骨折在术后可获得更好的膝关节活动度和功能康复。Objective To compare the effects of condylar blade-plate and anatomical plate on treatment of type C fractures of the supracondylar and intercondylar femur. Methods A retrospective analysis was done for the 56 patients who had been treated from December 1993 to June 2003 in our department. 23 of them were treated by open reduction and internal fixation with condylar blade-plate （BLP）, and 33 by open reduction and internal fixation with anatomical plate （AMP） . The follow-ups were performed through outpatient department review and telephoneinquiry. Data and X-ray films of all the patients were collected and analyzed. The motion degrees of the knee, functional rehabilitation of the knee and X-ray films of the 2 groups were evaluated and compared with the t test and χ^2 test. Results The average motion degree of the knee was 57. 17°·17.63°in BLP group treated by open reduction and internal fixation, and 86.09°·26. 55° in AMP group. The rate of excellent and good knee functional rehabilitation in BLP group was 73.91% （17/23） and 90. 90% （30/33） in AMP group. There were significant differences in the motion degree of the knee and good functionaj rehabilitation rate between the 2 groups （ P 〈 0. 05）. The average motion degree and the rate of good knee function in anatomical plate treatment were superior to those in blade plate treatment. Conclusion Internal fixation with anatomical plates can render patients with type C fracture of supracondylar and intercondylar femur better functional recovery of the knee and greater motion degree of the knee than condylar blade-plates.

关 键 词：股骨髁 骨折 骨折固定术 内 角度钢板 解剖钢板 股骨髁部 C型骨折 钢板治疗 疗效对照研究 膝关节活动度 

分 类 号：R687.3[医药卫生—骨科学]