摘要
目的总结手术治疗股骨远端C型骨折的疗效及预后：方法回顾性分析手术治疗的39例股骨远端C型骨折病历，其中使用髁支持钢板20例，髁动力螺钉13例，股骨髁上交锁髓内钉6例（7个肢体）。对伴有前交叉韧带、膝侧副韧带损伤者同期重建或修复。术后早期膝关节功能锻炼。结果34例获6～24个月随访，33例骨性愈合，愈合时间5～13个月，1例骨不连，3例发生膝内翻，2例膝外翻畸形。疗效评定：优16例，良8例，可6例，差4例。结论精确的解剖复位、合适的内固定、同期修复损伤韧带及术后早期功能锻炼是股骨远端C型骨折治疗的关键。
Objective To summarize the effect and prognosis of surgical treatment of C-type fractures of the distal femur. Methods A retrospective study was done for the 39 patients with C-type fractures of the distal femur who had received operative treatment from 1999 to 2004 in our center. Condylar buttress plate, dynamic condylar screw and supracondylar nail were used in 20, 13 and 6 patients （ 7 limbs） respectively. Results The 6-24 months＇ follow-up showed 33 bone union, 1 nonunion, 3 entad varus angulation and 2 outward varus angulation. The treatment outcome was evaluated as excellent in16 patients, good in 8, fair in 6 and poor in 4. Conclusion The therapeutic key to C-type fractures of distal femur lies in accurate anatomic reduction, right internal fixation based on the fracture style, simultaneous reparation of injured ligament and early knee mobilization.
出处
《实用医院临床杂志》
2006年第6期42-43,共2页
Practical Journal of Clinical Medicine
关键词
骨折
股骨远端
内固定
Fracture
Distal femur
Inner fixation
