内外侧入路内固定治疗股骨远端C型骨折疗效对比分析  

Efficacy analysis and comparision of medial approach and lateral approachs for type C fracture of distal femoral

作　　者：李治国[1] 杨晓茂 杨洪军[1] 冯浩[1] 

机构地区：[1]雅安市人民医院骨科,四川雅安625000

出　　处：《现代医药卫生》2014年第12期1798-1799,共2页Journal of Modern Medicine & Health

摘　　要：目的 对比分析内外侧入路治疗股骨远端C型骨折的临床效果。方法 对2006年1月至2012年6月该科收治的79例股骨远端C型骨折患者分别采用内侧入路（41例）与外侧入路（38例）内固定治疗，对2种方法 的手术时间、术中出血量、骨折愈合时间及膝关节功能进行比较。结果 对所有患者进行8～24个月的随访，骨折均愈合。内侧入路治疗组手术时间、术中出血量均优于外侧入路治疗组，差异均有统计学意义（P＜0.05）。采用Kolmert股骨远端功能评定标准对下肢功能进行评估，内侧入路治疗组优良率为78.05%，外侧入路治疗组优良率为76.30%，两组比较，差异无统计学意义（P＞0.05）。结论 采用内侧入路内固定治疗股骨远端C型骨折较外侧入路疗效更满意。Objective To investigate the clinical effect of medial approach and lateral approach in treatment of type C fractures of distal femoral. Methods Totally 79 patients with type C fractures of distal femoral during Janurary 2006 to June 2012 were treated by open reduction and internal fixation according to the medial or lateral approach ,41 treated with medial approach , 38 with lateral approach. The two methods were compared on the operation time ,amount of bleeding during the operation ,fracture healing time and knee joint function. Results The followed-up period varied from 8 months to 24 months ,and all the factures got healed. The medial approach treatment group was significantly better than the lateral approach treatment group in the operation time and amount of bleeding during the operation（P〉0.05）. According to distal femoral function evaluation criteria of Kolmert,the excellence rate was 78.05%in the medial approach treatment group and 76.30% in the lateral approach treatment group with statistically significant difference（P〈0.05）. Conclusion Surgical treatment by medial approach is a better method for type C fractures of distal femoral than that by later approach.

关 键 词：骨折 骨折固定术 内 股骨远端C型骨折 内侧入路 

分 类 号：R683.42[医药卫生—骨科学]