锁定加压钢板外固定对股骨远端骨折手术后感染的临床效果  

Effect of external fixation with locking plate on the infections of distal femoral fracture after operation

作　　者：彭文平[1] 汤华林[1] 毛海蛟[1] 史增元[1] 董文韦 

机构地区：[1]宁波大学医学院附属医院骨科,浙江宁波315200

出　　处：《中华医院感染学杂志》2017年第16期3737-3740,共4页Chinese Journal of Nosocomiology

基　　金：宁波市科技局基金资助项目(2014A610205)

摘　　要：目的探讨锁定加压钢板(LCP)外固定对股骨远端骨折术后感染的效果。方法选择2012年3月-2015年4月医院骨科利用LCP外固定技术结合置管冲洗负压引流技术,对股骨远端骨折内固定手术后发生感染的12例患者的临床资料进行分析。结果 12例骨折患者中,平均(44.00±10.50)岁;首次手术后到发生感染行LCP外固定的平均间隔时间为(16.17±2.73)d;所有患者均完成整个随访过程,随访时间平均为(15.50±1.51)月;患者骨折平均愈合时间为(19.17±2.25)周,全部病例均为骨性愈合,感染也全部得到有效控制;患者在手术后6个月膝关节屈曲角度平均为(110.17±10.66)°,伸直角度平均为(2.83±2.29)°;手术后1年的膝关节特种外科医院评分(HSS)平均(90.17±5.56)分。结论利用LCP外固定技术结合置管冲洗负压引流技术对股骨远端骨折内固定手术后的感染进行控制和治疗,具有创伤比较小,在Ⅱ期并不需要进行内固定更换,手术后并发症少而且节省住院费用等优点,作为一种对感染性骨折的治疗方法,有效性和安全性较高。OBJECTIVE To investigate the effect of external fixation of locking compression plate （LCP） on postoperative infections of distal femoral fractures.METHODS A total of 12 cases of infections after internal fixation of distal femoral fractures treated with LCP external fixation combined with catheter irrigation and negative pressure drainage from Mar.2012 to Apr.2015 were selected.The clinical data of the patients were analyzed.RESULTS The average age of 12 patients with fractures was （44.00±15.50） years old, and the average interval time after first operation to the infection was （16.17±2.73） d.All patients completed the whole follow-up procedure, and the average follow-up time was （15.50±1.51） months.The average healing time was （19.17±2.25） weeks, all cases were treated with bone healing, and all the infection was also effectively controlled.The average flexion angle was （110.17±10.66）° and the mean angle of extension was （2.83 ± 2.29） at 6 months after operation.The average HSS score was （90.17±5.56） at 1 year after operation.CONCLUSION Using LCP external fixation technique combined with catheter flushing negative pressure drainage technique to control and treat infections after femoral distal fracture fixation surgery has the advantages of less trauma, no need for internal fixation in stage Ⅱ, Less postoperative complications and savings in hospital costs, which has high effectiveness and safety as a treatment method for infectious fracture.

关 键 词：股骨远端骨折 外固定架 负压引流 

分 类 号：R683.42[医药卫生—骨科学]