解剖型钢板配合可吸收棒治疗股骨远端粉碎性骨折

Clinical application of anatomical distal femoral plate with absorbable stick in management of distal and comminuted femur fractures

目的 探讨解剖型钢板配合可吸收棒治疗股骨远端粉碎性骨折的临床效果。方法 对2001年5月以来收治的股骨远端粉碎性骨折45例，用AO解剖型钢板配合可吸收棒进行内固定治疗，术后获8～36个月随访。结果 解剖复位39例，接近解剖复位6例；45例伤口均愈合，无骨折不愈合、螺钉松动、钢板断裂等并发症；按Merchan膝关节功能评分，优31例，良10例，可4例；优良率91．1％。结论 AO解剖型钢板配合可吸收棒治疗股骨远端粉碎性骨折，关节面复位好，固定可靠，便于膝关节早期功能锻炼，是治疗股骨远端粉碎性骨折较理想的方法。

Objective To investigate the clinical results of anatomical distal femoral plate with absorbable stick in the treatment of distal and comminuted femur fractures. Methods Forty-five cases admitted in our hospital since May 2001 were treated with AO anatomical distal femoral plate with absorbable stick. All the cases were followed up for 8 to 36 months. Results All the fractures healed without complications of no-union, screw loosening or plate breakage. According to the Merchan Knee Functional Score,excellent result was obtained in 31 cases, good in 10 cases. Conclusion AO anatomical distal femoral plate with absorbable stick is one of the effective treatment of distal and comminuted femur fractures ,which provides a stable and reliable fixation with a earlier knee exercises.