手术治疗膝关节内复杂骨折的临床研究

Study cinical of Operative treatment for complex intraarticular fractures of the knee joint

目的：探讨应用各种手术方法治疗膝关节内复杂骨折的近期疗效及手术方法对疗效的影响.方法：2006年1月至2008年12月,应用各种内外固定的方法治疗膝关节内复杂骨折66例,按AO分型：C1型23例,C2型26例,C3型17例,其中开放性骨折15例.结果：所有患者均获随访,时间12-28月.骨折均全部愈合,愈合时间平均15（12-23）WK.按HSS评分：优54例,良9例,中2例,差1例,优良率95.5%.结论：根据骨折类型及软组织损伤的不同,选择合适的固定方法是手术成功的关键.

Obiective To disuss the short- term effect of surgery for complex intra-articular fractures of the knee joint. Methods From January 2006 to December 2008,66 cases of complex intra-articular fractures were treated with different Kinds of internal or/and external fixations in our orthopedic surgery department. According to AO Principle of facture management： 23cases of C1,26cases of C2 and 17 cases of C3. There were 15cases of open fractured. Results All the cases were followed up for from 12 to 28 months and the facturs were all unioned. The average union time was about 15 weeks （12- 23weeks）. The HSS scores：exeelleut in 54 cases, good in 9 cases, fair in 2 cases and poor in 1 case. Conclusion Acording to the types of factnres and iniurv of soft tissue, it is the key of operations to success that choose the Suitable fixation methods.