股骨髁冠状面骨折的诊断与治疗  

Diagnosis and treatment of the coronal fracture of the femoral condyle

作　　者：潘国标[1] 王卫[1] 雷文涛[1] 平立原[1] 干军[1] 杨宝根[1] 

机构地区：[1]杭州市第四医院骨科,浙江杭州310002

出　　处：《中国骨伤》2008年第10期785-786,共2页China Journal of Orthopaedics and Traumatology

摘　　要：目的:探讨股骨髁冠状面骨折的诊断与治疗方法。方法:自2000年3月至2007年10月,对6例股骨髁冠状面骨折采用切开复位空心拉力螺钉固定,术后辅助石膏托外固定,1周后CPM功能锻炼。另1例无移位的股骨外侧髁骨折采用伸膝位石膏固定6周,定期复查X线片。结果:随访6个月～2年,所有患者骨折愈合良好,无骨不愈合及骨坏死发生。膝关节功能按Kumar等拟定的膝关节功能评分系统进行综合评分,优5例,良1例,可1例。结论:空心拉力螺钉加压内固定及伸直位石膏外固定治疗股骨髁冠状面骨折效果良好,值得临床借鉴。Objective ： To investigate the diagnosis and treatment of the coronal fracture of the femoral condyle. Methods： Seven patients with Hoffa fracture treated in our hospital in recent 7 years were enrolled in this study. Six patients were treated with surgical treatment,while one non-displaced fracture received conservative treatment. Fractures were reduced under direct vision and fixed with hollow lag screws. The knees were immobilized in extension with cast after operation, and flexion exercise was commenced 3 weeks later. Results： All the patients were followed up. According to Kumar functional assessment system, 5 patients got excellent results, 1 good, and 1 fair. Conclusion：Rigid internal fixation with hollow lag screw and extension plaster fixation is the excellent way to treat the coronal fracture of the femoral condyle.

关 键 词：股骨骨折 诊断 骨折固定术 内 石膏 

分 类 号：R683.420.6[医药卫生—骨科学] R683.420.5[医药卫生—外科学]