股骨远端骨折的手术治疗

Surgical treatment of distal femoral fractures

目的 观察各种内固定方法治疗股骨远端骨折的临床疗效.方法 对285例股骨远端骨折患者采用股骨髁钢板、逆行髓内钉、动力髁螺钉和单独拉力螺钉内固定治疗.结果 术后随访时间8～14个月,按Hohl评分标准判定膝关节功能活动情况.术后膝关节活动度基本恢复,无明显内外翻畸形,行走基本不受限,活动时无明显疼痛.结论 手术治疗股骨远端骨折可使骨折得到解剖复位、加强内固定,有利于关节早期活动,从而使膝关节功能得以改善,且各种内固定方法各有利弊,要根据骨折具体类型选择合适的内固定方法.

Objective To explore the value of internal fixations in the clinical treatment of distal femoral fractures.Methods Two hundred and eighty-five cases of distal femoral fractures were treated with of femoral condylar plate, retrograde intramedullary nail, dynamic condylar screw and single lag screw fixation.Results The patients were followed up for 8 to 14 months. Using Hohl scoring criteria to determine knee function activities, we found all cases regained knee activity, and there was no significant internal or external varus deformity and walking was not basically limited and there was no significant pain. Conclusions Surgical treatment can make the fractures of distal femur fractures anatomic reset and rigid fixated, so it is conducive for early ambulant of the joint and to improve the function of the knee. Each internal fixation method has its advantages and disadvantages, so we must select suitable fixation according to the type of fracture.