锁定钢板在股骨髁部骨折治疗中的应用

Clinical Treatment of Femoral Condylar Fracture with Interlock Plate

目的探讨锁定钢板治疗股骨髁部骨折的疗效及临床特点。方法回顾性分析2005年1月至2008年12月间44例股骨髁部粉碎性骨折患者的临床资料,其中AO骨折分型,C2型36例,C3型8例,均采用股骨远端锁定钢板固定。结果本组患者伤口均一期愈合,无伤口感染、切口裂开等并发症。本组均获得随访,时间10～18个月,平均14.8个月。骨折均获得骨性愈合,临床愈合时间10～24周,无内固定失效、骨不连等并发症。膝关节功能按Karlstrom标准,优30例,良9例,可5例,优良率为88.6%。结论股骨髁部骨折类型多样,复位要求高,临床治疗困难。锁定钢板治疗股骨髁部骨折手术操作简单,固定坚强可靠,并发症少,膝关节功能恢复良好,是一种处理股骨髁部复杂骨折的良好方法 。

Objective To explore the clinical characteristis of femoral condylar fracture and treatment efficiency of interlock plate.Methods A review analysis of the clinical data is carried on of 46 cases femoral condylar fracture from Jan.2005 to Dec.2008.According to their classifications of AO,C2 for 36 cases and C3 for 8 cases,all are performed by interlock plate of femoral condylar fractures.Results The incision of 44 cases were primary healing,no incision infection,dehiscence or other complication.All cases were followed up,from 10 months to 18 months,average 14.8 months.The femoral condylar fractures all get osteo-healing within 10 to 24 weeks,no inter-fixation defeat or nonunion or other complications and gained good knee and ankle joint function recovery.Knee joint function was rated based on Karlstrom score system as excellent in 30 cases and good in 9 cases and fair in 5 cases,the excellent and good rate was 88.6%.Conclusion The femoral condylar fractures have different types and need excellent fracture reduction.The treatment of femoral condylar fracture with interlock plate with advantages of simple operation,stable fixation,few complication and good knee function recovery,is an effective way.