鞍式髁钢板内固定治疗股骨髁间髁上骨折  

Therapy of fracture of femoral intercondylar and supracondylar by saddle-shaped condylar plate

作　　者：闫德强[1] 谢志军[1] 常西海[1] 张汉瑜 赵成茂[1] 张庆[1] 孙立民[1] 张平[1] 

机构地区：[1]山东省淄博市临淄区人民医院,255400

出　　处：《中国矫形外科杂志》2006年第4期260-262,共3页Orthopedic Journal of China

摘　　要：[目的]探讨设计的鞍式髁钢板内固定治疗股骨髁间髁上骨折临床应用效果。[方法]随机选取32例股骨下端髁间髁上骨折患者，复位后均采用鞍式髁钢板固定。[结果]全部得到随访，术后随访4个月．2a，均达到良好的骨折愈合及膝关节功能恢复。[结论]该接骨板设计符合生物力学原理，其鞍状结构与股骨干髁间固定，可增强骨折断端的抗弯及抗旋转能力，具有较好的解剖塑型及稳定性，有利于骨折的愈合及术后早期进行功能锻炼，具有一定的临床应用价值。[ Objective] To investigate the clinical effect of saddle-shaped condylar plate in treating the fracture of the femoral intercondylar and supracondylar. [ Method ] Thirty-two cases with the fracture of the femoral intercondylar and sapracondylar, who were selected randomly were fixed by saddle-shaped condylar plates after reduction, of which 8 cases of patellar fractures accompanied with ipsilateral fracture of the femoral condylar. [ Result] All cases were completely healed during the follow-up study of 4 months to 2 years, all cases achieved bone union in 5 - 9 months. [ Conclusion] The design of the plate conforms to the principle of biomechanics and is good for the heal of the fracture. The saddle-shaped structure makes the plate and the cannular bone tangent as fixing so it can reduce the putrescence of the bone which is caused by pressure; The arch-bridge-shaped juncture and the mechanical bolts which are fixed across can strengthen the power of anti-bending and anti-rotation of the broken ends of the fractured bone. The stability of the fixation enables the patient do the functional exercise after the operation as soon as possible. It has definite clinical value and is worth of popularization.

关 键 词：股骨髁间髁上骨折 鞍式髁钢板 内固定 

分 类 号：R687.3[医药卫生—骨科学]