摘要
目的 总结 4 5例创伤性浮膝治疗的经验 ,探讨创伤性浮膝的有效治疗方法。方法 回顾性分析我院自1998年 6月～ 2 0 0 4年 4月共收治 4 5例浮膝损伤患者的治疗及预后情况。治疗方法分为交锁髓内钉 ,钢板内固定。将两组的疗效、预后进行分析。结果 经过半年～ 6年的随访 (平均 2 .7年 ) ,采取交锁髓内钉内固定治疗者优良率为95 % ,其疗效、预后优于非交锁髓内钉内固定组 (P <0 .0 5 ) ,后者优良率为 75 %。结论 创伤性浮膝是一种重度不稳定损伤 ,在治疗中采取交锁髓内钉内固定并结合CPM ,是一种较为有效的方法。
Objective To sum up the experiences of the traumatic floating knee in 45 cases and to explore the therapeutic methods of the traumatic floating knee. Methods With the retrospective investigation of the treatment and recovery in 45 cases with traumatic floating knee from June 1998 to April 2004 in our hospital, according to different treatment, the patients were divided into two groups: locked intramedullary nail group and non-locked intramedullary nail group. And complication, concrescence of fracture and function of the knee were analyzed. Results After the follow up time-average for 2.7 years (from 0.5 to 6 years) , the good rate of locked intramedullary nail group is 95%, better than it of non-locked intramedullary nail group(75%). Conclusions The fracture of floating knee is a kind of severe unstable wound, and to treat the fracture with locked intramedullary nail and CPM is an effective method.
