创伤性浮膝的早期手术分析  

The early stage of operative treatment for traumatic floating knee

作　　者：孙晓安[1] 许安丽[1] 王昶[1] 

机构地区：[1]深圳市西乡人民医院骨科,广东省深圳518102

出　　处：《中国基层医药》2008年第6期963-964,共2页Chinese Journal of Primary Medicine and Pharmacy

摘　　要：目的探讨创伤性浮膝手术治疗时机及方案选择。方法分析某院1999年6月至2006年8月共收治31例创伤性浮膝患者的临床资料，对手术情况及治疗结果进行回顾。结果该组患者伤口感染5例，截肢1例，Ⅱ期行植骨、内固定术2例；随访1～3年，平均25个月，骨折均愈合，根据Karlstrom等制订的浮膝损伤肢体功能评价标准，膝关节功能优良率87％。结论浮膝损伤常合并多脏器损伤，应积极优先处理重要脏器损伤及休克，争取24h内妥善固定股骨和胫骨骨折，紧急处理重要血管损伤，减少截肢率。Objective To discuss the opportunity of operation and selective in the early stage of treatment method. Methods To analyze the clinical data of 31 cases of patient traumatic floating knee since June 1999 to August 2006 at my hospital. The results of operative treatment and clinical condition were reviewed. Results In this group there were wound infection 5 cases,amputation 1 case,two stage plant the bone technique and inner fiction 2 cases. After following up patients 1 to 3 years（average 25 months）, All of the patients were recovered. According to kerstin at working out standard the limbs function of floating knee damage was evaluated so as to obtain the good percentage of 87 % of the knee joint function. Conclusion As usually, the complication of multiple organs injury in floating knee damage was most likely to occur if there had been position priority disposed of important internal organs damage and shock strives in 24 hours properly. The fixed thighbone and shinbone fracture with the emergency disposal of important blood vessel damage can reduce the amputation rate.

关 键 词：膝损伤 骨折 骨折固定术 内 

分 类 号：R687[医药卫生—骨科学]