解剖型钢板治疗股骨髁粉碎性骨折57例  

Anatomical plate in the treatment of femoral condyle fracture in 57 cases

作　　者：张汉中[1] 韩运[1] 朱建举 刘国龙[1] 

机构地区：[1]广东省深圳市宝安区松岗人民医院骨科,广东深圳518105

出　　处：《吉林医学》2011年第31期6538-6539,共2页Jilin Medical Journal

摘　　要：目的:探讨解剖型钢板治疗股骨髁粉碎性骨折的方法。方法:分析治疗57例股骨髁粉碎性骨折的临床资料,采用AO分类法,其中C1型骨折34例,C3型骨折23例,均行解剖型钢板内固定。术后视骨折固定的稳定程度不同,给予4～6 w的石膏固定,并进行合理的康复治疗。结果:57例骨折术后随访10～22个月,大部分骨折均愈合,愈合时间12～28周,平均18 w。按膝关节KSS评分标准[1],优30例,良20例,可5例,差2例,优良率87.7%。结论:股骨髁粉碎性骨折应用解剖型钢板治疗,多数可获得满意疗效。Objective To investigate the method of anatomical plate in the treatment of femoral condyle fracture.Method The clinical data of 57 patients with femoral condyle fracture was analyzed,using AO classification,34 cases with C1 fracture,23 patients with C3 fractures,all underwent anatomic plate fixation,and according to the stability of fixation,gave different gypsum fixation for 4~6 weeks,and made a reasonable rehabilitation.Results The 57 patients with fractures were followed up for 10~22 months,most of the fractures healed,the healing time was 12~28 weeks,mean of 18 weeks.According to the KSS knee score standard,excellent in 30 cases,good in 20 cases,ok in 5 cases and poor in 2 cases,and the excellent and good rate was 87.7%.Conclusion Anatomical plate treating femoral condyle fracture most can get satisfactory results.

关 键 词：股骨髁 粉碎性骨折 内固定 解剖型钢板 

分 类 号：R687.3[医药卫生—骨科学]