期刊文献+

股骨远端骨折的分型和治疗 被引量:13

Classification and treatment of distal femoral fractures
原文传递
导出
摘要 目的分析股骨远端骨折的分型和治疗。方法回顾性总结1995-2003年间的603例股骨远端骨折患者,男301例,女302例;年龄0.6~85岁,平均42.6岁。根据M櫣ller分型,A型282例,B型98例,C型223例;开放性骨折58例(9.6%)。非手术治疗134例,手术治疗469例。结果股骨远端A、B和C型骨折治疗后Neer评分依次降低,分别为73.4±13.9、64.9±14.7和59.2±14.8;手术治疗组Neer评分明显优于非手术治疗组。B型骨折中单纯性骨折和粉碎性骨折的治疗和预后有较大区别。结论股骨远端骨折应根据不同类型而采用不同的手术和内固定方法治疗,其中B型骨折应以骨折的累及范围和粉碎程度分为三种亚型,选择相应的内固定方法更为合理。 Objective To analyze the classification of distal femur fractures and understand thechoice of tre atment according to the classification. Methods A retrospective study was carried out in 603 cases (301 males and 302 females, with age range of 0.6-85 years, average 42.6 years) with distal femur fractures treated from 1995 to 2003. According to the Miiller classification, there were 282 cases of type A fractures, 98 type B and 223 type C. Fifty-eight cases (9.6%) were with open fractures. Of all,134 fractures were treated by conservative methods, 469 by surgical operation, 18 by compression plates,15 by "T" - or "L" -shaped plates, 74 by femoral condylar blade plates, 112 by dynamic condylar screw, 97 by femoral condylar plates, 23 by femoral locked nails, 41 by distal femoral nails, 55 by external fixators and 34 by others. Results The average Neer scores of type A, B and C fractures were decreased to 73.4 + 13.9, 64.9±14. 7 and 59.2±14.8 respectively. The average Neer score of surgery was significantly better than that of conservative methods. There existed marked differences in treatment and prognosis between the simple and comminuted fractures in type B fractures. Conclusions Distal femur fractures should be treated according to fracture classification. Based on the involved areas and comminution degrees, type B fractures should be grouped into three subtypes that then can be treated by suitable fixation method.
出处 《中华创伤杂志》 CAS CSCD 北大核心 2005年第8期585-587,共3页 Chinese Journal of Trauma
关键词 股骨远端骨折 分型 治疗 开放性骨折 Femoral fractures Fracture fixation Fracture classification
  • 相关文献

参考文献6

  • 1RuediTP MurphyWM 戴魁戎 荣国威 王满宜译.骨折治疗的AO原则(第1版)[M].北京:华夏出版社,2003.207-209.
  • 2Ricci AR, Yue J J, Taffet R, et al. Less Invasive Stabilization System for treatment of distal femur fractures. Am J Orthop, 2004, 33:250- 255.
  • 3Martinet O, Cordey J, Harder Y, et al. The epidemiology of fractures of the distal femur. Injury, 2000, 31 (Suppl 3) :C62-C63.
  • 4Schatzker J. Fractures of the distal femur revisited. Clin Orthop,1998, (347) :43 -56.
  • 5Handolin L, Pajarinen J, Lindahl J, et al. Retrograde intramedullary nailing in distal femoral fractures - results in a series of 46 consecutive operations. Injury, 2004, 35:517 -522.
  • 6Saw A, Lau CP. Supracondylar nailing for difficult distal femur fractures. J Orthop Surg ( Hong Kong) , 2003, 11 : 141 - 147.

共引文献7

同被引文献68

引证文献13

二级引证文献39

相关作者

内容加载中请稍等...

相关机构

内容加载中请稍等...

相关主题

内容加载中请稍等...

浏览历史

内容加载中请稍等...
;
使用帮助 返回顶部