解剖型钢板植骨术治疗股骨下端复杂粉碎骨折  

Internal fixation witah anatomical plate and bone graft for treatment of complicated comminuted fractures of distal femur

作　　者：马庆文[1] 王铁兵[1] 马建民[1] 

机构地区：[1]山东省滨州市人民医院创伤骨科,256610

出　　处：《中华创伤骨科杂志》2004年第6期694-695,共2页Chinese Journal of Orthopaedic Trauma

摘　　要：目的总结股骨下端复杂粉碎骨折解剖型钢板植骨固定的临床特点、效果。方法20例患者按AO分类,C2型11例,C3型9例,合并髌骨骨折7例。解剖型钢板固定的同时根据骨缺损情况行髂骨、腓骨植骨,观察疗效。结果所有患者随访10～24个月,骨折全部愈合,按Schatzker的疗效评定标准,优14例,良5例,可1例,优良率95%。结论解剖型钢板植骨术是治疗股骨下端C2、C3型骨折的理想方法。Objective To report the clinical features and effects of internal fixation with anatomical plate in combination with bone graft in treatment of complicated comminuted fractures of distal femur. Methods There were 11 case of type C2 and 9 cases of type C3 fractures of distal femur according to the AO classification. When they were treated with anatomical plate, bone grafting from ilium or fibula or from both was done to repair their bone defects depending on specific defects of the patients. Results All the patients were followed up for a mean of 20 months (ranging from 10 to 24 months). Bone healed in all the cases. By Schatzker standards, the result was excellent in 14 patients, good in 5 and fair in 1. The excellent and good rate was 95%. Conclusion The authors consider that anatomical plate in combination with bone graft is an ideal treatment for complicated comminuted fractures of distal femur.

关 键 词：股骨下端 粉碎骨折 解剖型钢板 植骨 

分 类 号：R687.3[医药卫生—骨科学]