一期植骨解剖钢板固定治疗股骨下端复杂骨折  

Anatomic Plate Fixation Plus One Stage Bone Grafting for Treatment of Complex Bone Fractures of Terminal Femora

作　　者：肖奕增[1] 庄瑞春[1] 郑文忠[1] 杨德育[1] 黄春福[1] 符祖昶[1] 

机构地区：[1]解放军第180医院骨科,福建泉州362000

出　　处：《临床军医杂志》2009年第3期427-428,共2页Clinical Journal of Medical Officers

摘　　要：目的探讨解剖型钢板内固定、一期植骨治疗股骨下端复杂粉碎性骨折的临床效果。方法对2000年以来收治的股骨下端复杂粉碎性骨折35例,采用解剖型钢板内固定及一期髂骨植骨治疗。结果随访1～2年,骨折均完全愈合,无骨不连、螺钉松动、钢板断裂、肢体短缩及膝关节内外翻畸形愈合等并发症,膝关节功能优良率达94.1%。结论解剖型钢板内固定、一期植骨治疗股骨下端复杂粉碎性骨折,操作简单,固定可靠,手术创伤小,有利于膝关节功能的恢复,是治疗股骨下端复杂粉碎性骨折较理想的方法。Objective To explore the clinical effects of anatomic plate internal fixation plus one stage bone grafting on the complex bone fractures of terminal femora. Methods Anatomic plate internal fixation plus one stage bone grafting was applied to 35 patients with complex comminuted bone fractures of terminal femora since the year of 2000. Results By the follow-up of 1 - 2 year（s）, all the bone fractures reached complete healing without nonunion, screw relaxation, plate rupture and malformation （e. g. limb shortening, knee varus or eversion）. The excellent and good rate of knee joint function was up to 94.1%. Conclusion With simple procedure, reliable fixation, mini operative damage and propitiousness to functional recovery of knee joint, anatomic plate internal fixation plus one stage bone grafting is a relatively good therapeutic approach to the complex comminuted bone fractures of terminal femora.

关 键 词：解剖型钢板 内固定 植骨 股骨下端 粉碎性骨折 

分 类 号：R683.42[医药卫生—骨科学]