股骨髁钢板结合CPM锻炼治疗股骨远端C3型骨折

Analysis of the Results of Condyle Plate and CPM Exercise for the Treatment of Femoral Condyle Fractures of C3 Classification

目的评价使用股骨髁钢板内固定结合CPM锻炼治疗股骨远端C3型骨折的临床疗效。方法对近4年31例股骨远端C3型骨折患者采用开放复位股骨髁解剖钢板内固定,结合CPM锻炼,进行8-24个月的随访,使用膝关节损伤功能评定标准对其疗效进行回顾性分析。结果31例患者骨折在3-6个月(平均为3.9个月)都愈合,无l例术中发生重要神经损伤,无1例发生术后感染。按照膝关节损伤功能评定标准进行评分:优17例,良9例,可4例,差l例,优良率为83.9%。结论股骨髁解剖钢板内固定结合使用CPM锻炼,是治疗股骨远端C3型骨折愈合满意、关节功能恢复较好的方法。

Objective To analyze the results of AO femoral condyle plate and CPM exercise for the treatment of femoral condyle fractures of C3 classification. Methods During the 4 years of 2003-2007,31 cases were treated with femoral condyle plate and exercise on CPM device, all belonging to AO classification of C3 and being postoperatively evaluated its curative effects by 8-24 months follow-up in term of the standard of knee ioint iniury function scores. Results After 3 to 6 months（average 3.9 months） ,all fractures were reunioned without important nerve injury and no infection, 17 of which were excellent, 9 good, 4 general and 1 bad. The overall excellent and good rate was 83.9 % . Conclusion The correct usage of femoral condyle plate and CPM exercise has the satisfactory reunion of fracture and good restoration of knee joint function.