髁支持钢板治疗股骨髁间和髁上骨折效果观察  

Effect of Condylar Buttress Plate for Treatment of Femoral Supracondylar and Intercondylar Fracture

作　　者：徐建华[1] 钟易林[1] 姜义山[1] 孙天祥[1] 

机构地区：[1]绵阳市第三人民医院骨科,四川绵阳621000

出　　处：《职业卫生与病伤》2009年第3期162-164,共3页Occupational Health and Damage

摘　　要：目的探讨髁支持钢板治疗股骨髁间和髁上骨折的疗效。方法2003—01／2008—08，采用髁支持钢板内固定治疗股骨髁间和髁上骨折14例。骨折按AO／ASIF分类：A2型1例，A3型1例，C1型3例，C2型4例，C3型5例。结果随访7～38个月，骨折愈合时间4-8个月，平均5．6个月，膝关节功能恢复良好，采用Merehan等提出的功能评定标准：优5例，良7例，中1例，差1例，优良率85．7％。结论采用髁支持钢板治疗股骨髁间和髁上骨折，固定牢靠，膝关节功能恢复好，是治疗股骨髁间髁上骨折的理想选择。Objective To evaluate the advantages of condylar buttress plate for the treatment of femoral supracondylar and intercondylar fractures. Methods From January 2003 to August 2008, 14 cases with femoral supracondylar and intercondylar fractures were treated with condylar buttress plate. The fractures were classified according to AO/ASIF： 1 cases of A2, 1 case of A3, 3cases of C1,4 cases of C2, and 5 cases of C3. Results All patients were followed up for 7 - 38 months（ average 13 months）. All fractures healed in 4 - 8 months（ average 5.6 months）. The knees function recovered well. According to Merchan standard, the results were excellent in 5 cases, good in 7, fair in 1, and poor in 1. The excellent and good rate was 85. 7%. Conclusion Condylar buttress plate for the treatment of femoral supracondylar and intercondylar fractures can provide rigid fixation and satisfactory knee function recovery, which is optimal for supracondylar and intercondylar fractures.

关 键 词：支持钢板 股骨骨折 骨折内固定术 

分 类 号：R683.2[医药卫生—骨科学]