创伤性浮膝的认识和治疗  

Knowing and treatment of floating knee injuries

作　　者：李进波[1] 吴树斌[1] 蔡拉加[1] 

机构地区：[1]潮州市中心医院骨科,521000

出　　处：《国际医药卫生导报》2009年第6期39-42,共4页International Medicine and Health Guidance News

摘　　要：目的探讨创伤性浮膝的含义和治疗策略。方法1998年5月-2008年6月共收治创伤性浮膝患者32例，其中股骨干骨折32个肢体，胫骨干骨折32个肢体，开放性骨折7例。对其临床资料进行回顾性分析，总结创伤性浮膝的手术时机和治疗方法。结果1例小腿减张伤口二期修复，其余术伤口一期愈合，无伤口感染或骨髓炎，术后复片骨折均达到或接近解剖复位，随访病例经1～3年随访，2例股骨和1例胫骨骨折延迟愈合，无骨折不愈合或内植物断裂，参照Karlstrom和0lerud评定优良率82．6％。结论创伤性浮膝骨折是一种重度不稳定、处理困难的损伤，首先重视危及生命的抢救，应在允许情况下尽早手术治疗，手术以固定牢靠、简单有效、创伤小为原则，坚强固定和术后早期锻练是恢复膝关节功能的关键。Objective To discuss meat and treatment of floating knee injuries. Method The 32 cases of floating knee injuries were treated from April 1998 to June 2008,and 32 limbs of ipsilateral fractures, and 32 limbs oftibiofibular fractures,and 7 cases operated fractures.To study the time of operation and treating methods for floating knee injuries by analyzing clinical data. Results All operation wewe healing cnstage no inspection of the wounds except one case repaired cnstage. All fractures wewe reducted to or near anatymy zone, All fractures followed up for were no non-healing or broken plate, 1 ipsilateral fractures and 2 tibiofibular fractures were healing slowly form 1 year to 3 years.According to Karlstrom and Olerud were rated 82.6% over good. Conclusion Floating knee injuries is a sort of injury instability and treated difficulty.The help must be noticed first and operated treatment early .The principle of operation is instability and simple and little injuriyeffective.Fixation strongly and activity early is key recovering the function of knee.

关 键 词：创伤性浮膝 固定 锻练 

分 类 号：R687[医药卫生—骨科学]