浮膝损伤的治疗  

Treatment of floating knee injury

作　　者：王洪威[1] 邢健昆[1] 戴振国[1] 

机构地区：[1]文登整骨医院

出　　处：《中国骨伤》2008年第2期122-123,共2页China Journal of Orthopaedics and Traumatology

摘　　要：目的:探讨手术切开复位内固定治疗浮膝损伤的临床疗效。方法:78例浮膝损伤,男59例,女19例;年龄17～58岁,平均37.5岁。手术切开复位内外固定治疗,固定物采用髓内钉、加压钢板、空心螺钉、多功能单臂外固定支架等,术后早期康复训练。结果:78例全部获得随访,随访时间8～35个月,平均18.6个月。采用Karlstr Fm等的评定标准,骨干骨折48例中,优45例,良3例;双髁骨折11例中,优5例,良3例,可1例,差2例;混合型骨折19例中,优9例,良6例,可3例,差1例。结论:严格的无菌、无创原则和规范的内、外固定技术可使骨折得到解剖复位及坚强的固定,这有利于早期的有序康复训练,有效地防止骨折畸形愈合、关节僵硬等并发症,可取得满意的临床治疗效果。Objective ：To explore the clinical outcome of floating knee injury treated by open reduction and internal fixation. Methods：The course of treatment of floating knee in 78 cases by open reduction and internal fixation were reviewed. There were 59 males and 19 females ,aged from 17 to 58 years old,with an average age of 37.5 years, lntramedullary nail ,pressure plate hollow screw, multi-function single side external fixation holder and other internal fixature were used in the operation. Early exercises were followed postoperatively. Results：All patients were followed-up for 8 to 35 months （mean 18.6 months）. According to the criterion of Karlstrom, of the 48 cases with femoral shaft fracture,45 were excellent and 3 were good. In the 11 cases of bimalleolar fracture,5 were excellent,3 good, 1 fair and 2 bad. Of the 19 cases of mixed fracture,9 were excellent,6 good, 3 fair and 1 bad. Conclusion：Strict sterilization, non-invasion and standard internal and external fixation could make the fracture anatomical reduction and firm fixation. It is beneficial to early rehabilitation exercise. Complications such as malunion, and stiff joint could be avoided. The clinical outcome were satisfactory.

关 键 词：浮膝损伤 骨折固定术 外科手术 

分 类 号：R684.7[医药卫生—骨科学] R683.420.5[医药卫生—外科学]