内、外侧双钢板治疗股骨远端粉碎性骨折的临床效果

Outcomes of Distal and Comminuted Femur Fracture Applying in Medial and Lateral Double-Plating Fixation

目的:探讨应用内、外侧双钢板治疗股骨远端粉碎性骨折的临床疗效。方法:回顾性分析我院自2010年8月-2014年4月在临床中应用切开复位结合股骨髁内、外侧双钢板治疗股骨远端粉碎性骨折21例,闭合性骨折18例,开放性骨折3例,开放性骨折经过一期清创缝合使其转变为闭合性骨折。按Müller分型:A2型6例,A3型4例,C1型2例,C2型4例,C3型5例。结果:术后患者平均随访5-20个月,所有患者均达到骨性愈合。采用Lysholms评分评价膝关节功能,优14例,良4例,可2例,差1例。术后有1例患者出现切口局部脂肪液化坏死,通过换药愈合,其他患者均未出现感染、切口皮肤坏死、深静脉血栓等并发症,无围手术期及随访期内死亡。结论:应用内、外侧双钢板治疗股骨远端粉碎性骨折(Müller分型A2、A3、C2、C3型)是一种有效的方法。

Objective：To investigate the efficacy of medial and lateral double-plating fixation in the treatment of distal femoral comminuted fracture.Methods：We retrospectively analyzed 21 cases of our hospital from August 2010 to April 2014,during which the patients were treated by double-plating fixation,including 18 cases of closed fracture,and 3open fractures,which were treated with debridement in a one-stage procedure and then turn into closed fracture.According to Müller AO classification：6cases were the type A2,4cases were type A3,2cases were C1,4cases were C2 and 5cases were type C3.Results：All patients were followed up for 5-20 months,and all patients achieved bony healing.The Lysholm scoring system was used to evaluate the knee joint function,the results were excellent in 14 cases,good in 4cases,fair in 2cases and poor in 1case;Fat liquefaction around the incision ccurred in one patient,and was cured by changing dressings.No infected skin necrosis DVT and other complications happened,and no mortality occurred during peri-operative and follow-up period.Conclusion：Using medial and lateral double-plating fixation to treat distal femoral comminuted fracture is an efficient method.