股骨干骨折后遗膝关节伸位僵直的治疗  

TREATMENT OF KNEE JOINT RIGIDITY IN THE STRAIGHT POSITION FOLLOWING THE FRACTURE OF FEMORAL SHAFT

作　　者：王道谦[1] 毛宾尧[1] 盖维缤[1] 房清敏[1] 张丙磊[1] 刘洪涛[1] 任守松[1] 刘明廷[1] 庞清江[1] 朱晓东[1] 李新春[1] 

机构地区：[1]滨州医学院附属医院外科

出　　处：《滨州医学院学报》1992年第3期221-222,287,共2页Journal of Binzhou Medical University

摘　　要：对18例股骨干骨折后遗膝关节伸位僵直的手术病人进行了1～6年随访,疗效满意。强调骨中间肌、股四头肌扩张部与股骨间粘连是发病的主要原因。彻底松解粘连组织、大部切除纤维化的股中间肌、骨、肌间放大片硅膜,术后行最大屈膝位,大、小腿间“8”字形绷带固定是手术成功关键。提出该术采用股下段内侧直切口的重要性。1 to 6 years follow-up study in 18 operative patients with knee joint rigidity following the fracture of femoral shaft indicated that the post-operative results were satisfactory. This report describes the pathogenesis,operation methods,main points for attention during or after operation and methods. of preventing the knee joint mgidity. It is etnphastzedi that the adhesion of musculus vastus intermedius and expansive part of musculus. quadriceps femocis with the femur is the main pathogenic factor. Therefore, the key to operative success lies in choosing the medial incision of the lower part of the femur, releasing the adhesion thoroughly, inserting the silicone membrane between the femus and the rousculus quadriceps femoris as well as maintaining the knee joint in the whole flexion position with the figure of '8'-bandage. The atrthots suggest that it is important to deal with every link of the treatment process well.

关 键 词：后遗症 股骨干骨折 膝关节僵直 

分 类 号：R683.42[医药卫生—骨科学]