浮膝损伤 预后不良的风险  

Floating knee injury Risk of unsatisfactory functional score following injury

作　　者：David L Helfet 王簕(译)[2] 杨云峰(译)[3] 

机构地区：[1]不详 [2]广州医学院第三附属医院骨科 [3]上海同济大学同济医院骨科

出　　处：《中华创伤骨科杂志》2010年第11期1074-1078,共5页Chinese Journal of Orthopaedic Trauma

摘　　要：4项前瞻性队列研究（CoE Ⅲ）对浮膝损伤后发生功能恢复不良的风险进行了报道,研究中膝关节的功能情况均采用Karlstr.m/Olerud评分法评价,本文以上述4项研究作为基础做一概述.其中1项研究报道当患者合并Müller AO Ⅰ型骨折时,发生功能恢复不良的平均风险为41%,另1项研究报道为17%.另有1项研究报道当患者合并Ⅱ型骨折时,发生功能恢复不良的平均风险为58%.统计学研究显示,功能恢复不良的发生风险与下列因素有关：Ⅱ型骨折（骨折累及关节）、伤后超过1周才行骨折内固定治疗者、胫骨软组织损伤严重者.Summary Four prognostic studies （CoE Ⅲ ） that examined factors for unsatisfactory functional outcomes measured by Karlstr. m/Olerud score following floating knee injury form the basis of this report. The overall mean risk of AO type Ⅰ fracture was 41% in one study and 17% in another. The mean risk of an unsatisfactory score in another study among patients with only type Ⅱ fractures was 58%. Statistically significant association with unsatisfactory scores included type Ⅱ fractures （joint involvement） and delay in fracture fixation of greater than 1 week, and increased severity of tibial soft-tissue injury.

关 键 词：发生风险 浮膝损伤 预后不良 前瞻性队列研究 Ⅱ型骨折 功能恢复 软组织损伤 固定治疗 

分 类 号：R686[医药卫生—骨科学]