外侧锁定板与内侧支持接骨板联合治疗C2及C3型股骨髁间骨折  

Internal Fixation of Femoral Intercondylar Fracture with Lateral Locking Plate and Medial Buttress Plate

作　　者：周建刚[1] 孟维春[1] 曹骏敏[1] 蒋臻欢[1] 

机构地区：[1]江苏大学附属宜兴医院骨二科,江苏宜兴214200

出　　处：《中国临床医学》2011年第4期522-524,共3页Chinese Journal of Clinical Medicine

摘　　要：目的：探讨外侧锁定板结合内侧支持接骨板治疗股骨髁间C2及C3型骨折的可行性。方法：采用外侧锁定板结合内侧支持接骨板治疗股骨髁间骨折患者18例。按AO分型：C2型12例,C3型6例,手术均采用内、外侧联合入路,骨折解剖复位后分别在外侧放置髁支持钢板,内侧放置普通钢板固定,术后不予外固定。结果：所有患者获得随访,平均随访时间为8.3个月,骨折均愈合,愈合时间12~22周。膝关节功能Lysholm评分：优8例,良8例,可2例,优良率为89%。结论：切开复位外侧锁定板结合内侧支持接骨板内固定治疗C2及C3股骨髁间型骨折并发症少、固定牢固、骨折愈合快,能获得良好的临床效果。Objective：To investigate the clinical effects of the treatment of type C2 and C3 femoral intercondylar fractures using locking plate and buttress plate.Methods：From 2007 to 2010,18 cases of femoral intercondylar fractures were treated with lateral locking plates and medial buttress plates.According to Osteosynthe stfragen（AO） fracture classification,the fractures were classified as type C2 in 12 cases and type C3 in 6 cases.Medial and lateral approaches were used in the operation.After reduction,buttress plates were placed medially and locking plates were inserted laterally.There was no additional external fixation device postoperatively.Results： All the cases were followed up for an average of 8.3 months and they all got bony union in 12-22 weeks.According to the criteria of Lysholm Knee Score,the result was as follows： 8 excellent,8 good and 2 fair.The excellent and good rate was 89%.Conclusions： Open reduction and internal fixation with locking and buttress plates in the treatment of type C2 and C3 femoral intercondylar fracture has the advantage of a low rate complication,stable fixation and rapid bone union,and presents good clinical outcome.

关 键 词：锁定板 支持钢板 股骨髁间骨折 

分 类 号：R683.42[医药卫生—骨科学]