摘要
目的探讨下肢骨折多并发膝关节僵直,对骨折的正确处理,最大限度地保护膝关节的活动功能。方法①外固定架应注意弹性,多平面固定,即固定骨折,又可以早期活动关节;②皮肤软组织损伤缺损严重的应及时彻底清创,尽早皮瓣移植,后上外固定;③极度粉碎骨折,牵引2个月,骨折基本稳定后上外固定架,同时行膝关节推拿松解;④如果膝关节已僵直则行松解术和股四头肌成形术。结果本组患者没有发生膝关节僵直病例,即使是较复杂严重的开放性软组织损伤缺损严重的骨折,膝关节的活动度也能超过110°。结论正确掌握预防和处理措施,是治疗下肢骨折所致关节僵硬的关键。
Objective To discuss the prevention and treatment method of knee rigor after lower limbs fracture. Methods The external frisket was helpful for fixation of fracture and early exercise of joint. The skin and sift tissue was debrided and graft before fixation. The broken fracture was retracted 2 months before fixation and rigor knee lysis was taken. Results There was no knee rigor happened in this group even though open soft tissue defected cases. The knee motion activity was over 110. Conclusion The proper prevention and treatment might be the key point to avoid the knee rigor.
出处
《黑龙江医学》
2006年第5期351-351,共1页
Heilongjiang Medical Journal
关键词
骨外科学
下肢骨折
关节僵硬
处理
Orthopaedics
Lower limb fracture
Knee rigor
Treatment
