浮膝损伤的手术治疗  

Surgical treatment of the floating knee injury

作　　者：徐林[1] 李鹏[1] 柏小金[1] 

机构地区：[1]遵义医学院第三附属医院骨一科,贵州遵义563002

出　　处：《海南医学》2007年第11期35-36,共2页Hainan Medical Journal

摘　　要：目的探讨手术治疗浮膝损伤的疗效。方法将13例浮膝损伤,按Fraser分型方法分为4型,Ⅰ型7例,Ⅱa型3例,Ⅱb型2例,Ⅱc型1例。所有病人均行手术复位固定,术后早期功能锻炼。结果术后随访1～3年。疗效评定采用Karlstrom和Olerud标准。优8例,良2例,可1例,差2例。结论对浮膝损伤的手术治疗,视全身及局部情况选择适当的内固定或外固定器,其中交锁髓内钉内固定效果好。Objective To explore the efficacy of different operative. Methods 13 cases of floating knee injury were divided into 4 types according to Fraser classification. 7 cases were in type Ⅰ 3 cases in type Ⅱ a, 2 cases in type Ⅱ h, 1 case in type Ⅱ e. All patients were received fracture reduction and fixation, following early functional training postoperatively. Results The mean follow-up time were 1-3 years. The outcome was assessed according to the criteria of Kaelstrom and Olerud. The excellent were 8 cases, the good 2 cases, the common 1 case, the bad 2 cases. Condusions Floating knee injury should be managed by internal fixation or external fixation. Interlocked intramedullary nails are good option.

关 键 词：浮膝 骨折内固定 交锁髓内钉 外固定器 

分 类 号：R683.42[医药卫生—骨科学]