内外固定治疗创伤性浮膝的疗效比较  

Comparison of the therapeutic effect of traumatic floating knee between with internal fixation or with external fixation

作　　者：李建军 杨志刚 朱新晨 阿里木 萨木克·塔西铁木尔 王顶文 

机构地区：[1]托克逊人民医院,新疆托克逊838100

出　　处：《医学美学美容（中旬刊）》2015年第1期198-198,共1页

摘　　要：目的比较两种不同方法治疗创伤性浮膝的疗效。方法2000年6月-2012年4月68例损伤性浮膝患者根据治疗方法不同分为内固定组35例。外固定组33侧。不同的分型及有无合并伤，选择不同的治疗方法和时机，并由此决定术后功能锻炼的时间和方法，将两组的疗效、预后进行分析。结果经过8个月到5．6年的随访（平均2．6年），肢体功能参照Karlstrom和Olerud[3]制定标准评价，35例内固定者，优11例，良18例，可5例，差1例，优良率82．86％（29／35）；33例外固定手术者，优9例，良12例，可9例，差3例，优良率63．64％（21／33），两组优良率比较P〈0．05。结论采取内固定并结合CPM治疗创伤性浮膝是一种较为有效的方法。Objective To compare the therapeutic effect of traumatic floating knee between with internal fixation or with external rotation. Methods Sixty eight cases with traumatic floating knee had been divided into two group basing on the different methods between June 2000 and April 2012. i.e. internal fixation group （n = 35 ） and external Kxation group（ n = 33 ）. The different treatment methods and operative opportunity were selected according to their different typing and fracture position, then functional exercise after operation were decide according to this plan. The outcomes of the two groups and the function of the knee joints involved were analyzed. Results All the 68 cases had been f0~owed - up an average 2,,6 years （ from 8 months to 5.6 years） , the rate of both excellent and good is 82.86% （29/35） in the internal group, and 63.64% （21/33） in the external group. The difference of the rate of both excellent and good had statistical signifi- cance between the two group （ P 〈 0.05 ）. Conclusion The fracture of floating knee is a kind of severe unstable wound, and to treat the fracture with internal fixation combined with CPM is an effective method.

关 键 词：浮膝 内固定 外固定 疗效 

分 类 号：R683[医药卫生—骨科学]