AO股骨髁支持钢板结合CPM早期锻炼治疗股骨远端C3型骨折

Analysis of the results of AO condyle plate and early CMP exercise for the treatment of femoral condyle fracture of C3 classification

目的:评价使用AO股骨髁支持钢板内固定结合早期CPM锻炼治疗股骨远端C3型骨折的临床疗效。方法:对我科3年22例股骨远端C3型骨折患者采用开放复位AO股骨髁支持钢板内固定,早期CPM锻炼,进行5～30个月的随访,使用膝关节损伤功能评定标准对其疗效进行回顾性分析。结果:22例患者骨折在3～6个月(平均为3.8个月)都愈合,无1例术中发生重要神经损伤,也无一例发生术后感染;按照膝关节损伤功能评定标准进行评分:优10例,良8例,可3例,差1例,优良率为84%。结论:用AO股骨髁支持钢板内固定和早期使用CPM锻炼是一种治疗股骨远端C3型骨折愈合满意、关节功能恢复较好的方法。

Objective To analyze the results of AO femoral condyle plate and early CMP exercise for the treatment of femoral condyle fracture of C3 classification. Methods During the 3 years of 2001 2004, 22 cases were treated with AO femoral condyle plate and early exercise on CPM device in our department, all belonging to AO classification of C3 and being postoperatively evaluated its curative effects by 5～30 months follow up in term of the standard of knee joint injuries function scores. Results After 3 to 6 months (average 3.8 months), all fractures were reunioned without important nerve injury and no infection, ten of which were excellent, 8 good, 3 general and 1 bad. The overall excellent and good rate was 84%. Conclusion The correct usage of AO femoral condyle plate and early CMP exercise has the satisfactory reunion of fracture and good restoration of knee joint function.