同侧股骨和胫骨骨折的分型及术式选择  

Clinical classification and technique selection for fractures of ipsilateral femur and tibia

作　　者：郭祥[1] 张寿[1] 周业渊[1] 邢势[1] 符林雄[1] 万咏柏[1] 

机构地区：[1]中南大学湘雅医学院附属海口医院,海南海口570208

出　　处：《中国现代医学杂志》2008年第7期946-948,共3页China Journal of Modern Medicine

摘　　要：目的探讨同侧股骨和胫骨骨折的分型、术式选择及合并伤的处理方法。方法回顾分析该院1995～2005年收治的53例同侧股骨和胫骨骨折手术后患者的资料。其中,男32例,女21例。按Fraser等[1]的分型,Ⅰ型骨折19例,Ⅱ型骨折34例,其中Ⅱa型17例,Ⅱb型11例,Ⅱc型6例。53例均经开放复位、选择合适的手术方式尽早手术固定骨折。结果53例均获得随访,随访时间14～54个月,平均24个月。采用Karlstr?m和Olerud的标准评定,优37例,良9例,中和差7例,优良率为86.8%。结论早期手术治疗并合理选择术式有利于提高同侧股骨和胫骨骨折的疗效,合并伤的早期诊断及治疗应予足够重视。[Objective] To discuss the clinical classification, technique selection and treatment of the associated injuries for fractures of ipsilateral femur and tibia. [Method] 53 cases （32 males, 21 females） of fractures of ipsilateral femur and tibia were treated with internal fixation or external fixation from 1995 to 2005 in our hospital. According to Fraser classification, there were type Ⅰ fracture for 19 cases, and type Ⅱ for 34 cases （type Ⅱ a 17 cases, type Ⅱ b 11 cases, type Ⅱ c 6 cases）. [Results] All the 53 patients were followed up for 14 months to 54 months with an average of 24 months. According to Karlstrem and Olernd scale, the outcomes were excellent in 37 cases, good in 9 cases, fair in 7 cases and fail in 2 cases. The excellent and good rate was 83%. [Conclusion] The fractures of ipsilateral femur and tibia should be operated as early as possible with double operation, and select fixation project according to fracture type so as to improve the clinical results. Attention should be paid to early diagnosis and treatment for associated injuries.

关 键 词：股骨 胫骨 同侧骨折 合并伤 手术治疗 

分 类 号：R683.42[医药卫生—骨科学]