锁定钢板治疗股骨远端粉碎性骨折  

Treatment of Distal Femoral Fractures with Locking Plate

作　　者：李军[1] 张建华[2] LI Jun,ZHANG Jian-hua （1.Department of Orthopaedics,Dianjun Subordinate Hospital of Central People＇s Hospital of Yichang City; 2.Department of Orthopaedics,Renhe Hospital of China Three Gorges University, Yichang 443000,China）

机构地区：[1]宜昌市中心人民医院点军分院骨科,湖北宜昌443003 [2]三峡大学仁和医院骨科,湖北宜昌443000

出　　处：《医学信息》2010年第18期3391-3393,共3页Journal of Medical Information

摘　　要：目的探讨锁定钢板治疗股骨远端粉碎性骨折的临床疗效。方法 46例患者采用开放骨折复位锁定钢板内固定术治疗股骨远端粉碎性骨折,术后下肢支具固定患肢4周,术后3天开始行髋关节及膝关节的被动锻炼,1周后行髋关节及膝关节的主动锻炼。结果 46例患者均获得随访,随访时间14～20个月的随访,平均16个月,45例骨折骨性愈合,1例延迟愈合。无断钉、脱钉、钢板松动、断板及膝内翻、关节僵直等并发症出现。结论股骨远端锁定钢板对股骨远端粉碎性骨折具有内固定坚强,允许早期活动,减少关节僵直及膝内翻发生率,有利于骨折愈合等优点,是治疗此类病人较好的一种内固定方法。Objective To investigate the locking plate in the treatment of distal femur fracture clinical effect. Method 46patients were treated with open fractures locking plate fixation of distal femur fracture, postoperative leg braces fixed limb for 4 weeks, 3 days after the beginning of hip and knee joint passive exercise, a weeks after hip and knee active exercise. Results 46 patients were followed up for 14 to 20 months of follow-up, an average of 16 months, 45 cases of bone fracture healing, lcases of delayed healing. No broken nails, de nails, plate loosening, broken plates varus knee, joint stiffness and other complications occurred. Conclusion The right distal femur locking plate fixation of distal femur fracture with a strong, allowing early activity, reduce joint stiffness and the incidence of knee varus are conducive to fracture healing, the treatment of such patients a better one kinds of internal fixation.

关 键 词：锁定钢板 股骨远端骨折 内固定术 

分 类 号：R683.42[医药卫生—骨科学;医药卫生—临床医学;医药卫生—外科学]