膝关节周围C型骨折的治疗策略  

Treatment of Peri-knee C Type Fractures

作　　者：赵刘军[1] 徐荣明[1] 朱文杰[1] 冯建翔[1] 阮永平[1] 王邦荣[1] 景灵勇[1] 

机构地区：[1]浙江省宁波市第六医院骨科,315040

出　　处：《中国骨与关节损伤杂志》2005年第9期588-589,共2页Chinese Journal of Bone and Joint Injury

摘　　要：目的探讨膝关节周围'C'型骨折的治疗策略.方法回顾性研究自2001年5月～2004年12月收治的膝关节周围'C'型骨折32例,所有患者均运用骨牵引,尽量术前调整达到膝关节面解剖复位.术中经皮插入双钢板固定骨折,早期功能锻炼.结果32例均获得随访,随访时间3～36个月,平均12.5个月.所有骨折均达到临床愈合,平均愈合时间13.5周.膝关节平均活动度110°,优良率达87.5%.结论正确处理膝关节周围'C'型骨折合并的软组织损伤,术前经常调节骨牵引的重量和方向,运用经皮微创技术的双钢板固定,早期功能锻炼是处理膝关节周围'C'型骨折的有效策略.Objective To investigate the treatment of peri- knee C type fractures. Methods Thirty- two patients with peri- knee C type fractures have been treated in our hospital since May 2001. Bone traction was applied in all patients to reduce the articular surface of knee before operation. Minimal invasive percutaneous double plate was used during operation. Early exercises were performed after operation. Results The average follow - up period was 12.5 months （3 to 36 months）. Clinical bone healing was achieved after 13.5 weeks （8-48 weeks）. The mean range of motion of knee was 110 degrees. The good and excellent function result was obtained in about 87.5 % cases. Conclusion Dealing with soft tissue injury correctly, regulating the weight and direction of the bone traction frequently, minimal invasive percutaneous double plate and early exercises are the effective methods for treatment of peri- knee C type fracture.

关 键 词：经皮 双钢板 骨折 治疗 膝关节周围 C型骨折 治疗策略 平均愈合时间 早期功能锻炼 双钢板固定 随访时间 2004年 2001年 

分 类 号：R622.1[医药卫生—整形外科] R683.420.5[医药卫生—外科学]