AO股骨髁支撑钢板内固定在股骨远端复杂骨折的应用  

INTERNAL FIXATION WITH THE SUPPORTING STEEL OF AO FEMORAL CONDYLES FOR TREATMENT OF COMPLICATED DISTAL FEMORAL FRACTURES

作　　者：李程[1] 张立[1] 

机构地区：[1]淄博矿业集团中心医院骨创科,山东淄博255120

出　　处：《中国修复重建外科杂志》2006年第7期706-708,共3页Chinese Journal of Reparative and Reconstructive Surgery

摘　　要：目的 探讨应用股骨髁支撑钢板内固定治疗股骨远端复杂骨折的方法和临床疗效。方法 回顾分析2001年10月～2004年2月，对23例股骨远端复杂骨折患者进行修复重建，其中男19例，女4例；年龄27～55岁。左侧13例，右侧10例。交通伤16例，高处坠落伤7例。闭合性骨折14例，开放性骨折9例。新鲜骨折21例，陈旧性骨折2例。骨折AO分类：A型关节外骨折6例，C型关节内骨折17例。术前X线片示股骨髁上、髁间粉碎性骨折。患者均行切开复位内固定，对于粉碎性骨折先用克氏针或松质骨螺钉整复股骨内外髁，对齐关节面，外侧置股骨髁支撑钢板固定；对骨缺损较大者行一期植骨，术后行科学合理的康复治疗及随访观察。结果 患者均获随访6～20个月，平均13．7个月。术后14个月X线片示骨折均对位、对线佳。骨折均愈合，愈合时间7～16个月。按Kolmert和Wulff的评价标准，A型6例，优5例，良1例；C型17例，优1l例，良3例，可2例，差1例。结论 采用股骨髁支撑钢板内固定治疗股骨远端复杂骨折，设计合理，操作简便，固定可靠，疗效肯定。Objective To explore the technique and clinical effects of internal fixation of complicated distal femoral fractures using the supporting steel of AO femoral condyles. Methods From October 2001 to February 2004, 23 cases of complicated distal femoral fractures were treated with open reduction and internal fixation using the supporting steel of AO femoral condyles. Of 23 cases, there were 19 males and 4 females, aged 27-55 years. The locations were the right side in 10 cases and the left side in 13 cases. Fracture caused by traffic accident in 16 and by fall in 7, including 14 closed fracture and 9 open fracture, 21 fresh fracture and 2 old fracture. According to AO classification, 6 cases were classified as type A extra-articular fracture and 17 cases as type C intra-articular fracture. The X-ray films before operation showed comminuted fracture of femoral intercondyles and femoral supracondyles. All cases received scientific and rational rehabilitative treatment post-operatively. Results The postoperative follow-up ranged from 6 months to 20 months, 23 cases achieved fracture healing with an average healing period of 10. 3 months （from 7 months to 16 months）. According to the criteria of Kolmert and Wulff, the results were excellent in 16 cases, good in 4 cases, fair in 2 case and poor in 1 case. The excellenct and good rate was 86. 9%. Conclusion Internal fixation with the supporting steel of AO femoral condyles for treatment of complicated distal femoral fractures has advantages of reasonable design, convenient operation, firm fixation and reliable clinical outcome .

关 键 词：股骨远端骨折 AO股骨髁钢板 内固定 

分 类 号：R687.3[医药卫生—骨科学]