支撑钢板内固定自体腓骨髂骨移植治疗股骨远端C_3型骨折

Usage of buttress plate internal fixation associated with autografting of fibula and iliac bone for the treatment of distal femoral C_3 type fracture

目的:评价支撑钢板联合自体腓骨髂骨移植治疗股骨远端C3骨折的疗效.方法:回顾分析应用支撑钢板和自体腓骨髂骨移植治疗股骨远端C3型骨折17例的临床效果.结果:经过8～55个月,平均24个月的随访,无骨不连及感染病例.骨痂桥接时间(3～5个月)平均4个月,骨愈合时间(6～14个月)平均8个月.关节功能:参照Shelbourne疗效评定标准,膝关节功能均优良.结论:支撑钢板联合植入自体腓骨髂骨治疗股骨远端C3型骨折,固定坚强,可早期活动,愈合率高,是一种很好的方法.

Objective: To assess the effect of using buttress plate associated with antografting of fibula and iliac bone for the treatment of distal femoral C_3 type fracture.Method: Seventeen cases of distal femoral C_3 type fracture using buttress plate associated with antografting of fibula and iliac bone were analyzed retrospectively.Result:All cases were followed up for an average of 24 months( 8~55 months). The average time of octets bridge forming were 4 months(3~5 months) while the average time for bone union were 8 months(6~14 months).According to Shelbourne rating system, result of all 18 cases were excellent and no malunion, infection were found.Conclusion: Buttress plate associated with antografting of fibula and iliac bone is an effective alternative for the treatment of distal femoral C_3 type fracture. It can provide more stable fixation to the bone and earlier functional exercises can be achieved.