股骨髁解剖钢板固定配合中药熏洗治疗股骨远端骨折的临床观察

目的:观察配合中药熏洗在改善股骨远端骨折术后膝关节功能方面的临床效果。方法:2007年5月～2010年5月将47例股骨远端骨折患者随机分为治疗组和对照组,治疗组23例,男12例,女11例,平均年龄36.4±12.6,AO分型:A型13例。B型6例,C型4例。对照组24例,男17例,女7例,平均年龄38.4±11.7岁,AO分型,A型15例,B型7例,C型2例。两组均采用股骨髁解剖钢板内固定术,同时配合关节功能锻炼,治疗组加用小活络丹熏洗。结果:治疗组和对照组均无切口感染,皮瓣坏死,骨和钢板外露等情况。47例患者均获随访,时间4～10个月,平均6.8个月,采用Kolmert评价标准评价,治疗组优15例,良5例,中2例,差1例;对照组优5例,良8例,中9例,差2例,两组疗效比较差异有统计学意义(P<0.05),治疗组明显优于对照组。结论:配合小活络丹熏洗有助于改善股骨远端骨折术后膝关节的功能。

Objective ：To observe the small active Dan fracture of distal femoral fractures in improving knee function in clinical effect. Methods： May 2007 - May 2010,47 cases of distal femoral fractures were randomly divided into treatment group and control group, treatment group 25 cases, 12 males and 11 females, mean age 36.4 ±12. 6,AO points Type：A type of 13 cases. 6 cases of B -, C - type 4 cases. Control group, 24 patients, 17 males, 7 females, mean age 38.4 ±11.7 years old, AO classification,A - type 15 cases, B in 7 cases, C type 2 cases. Both groups were anatomical femoral condyle plate fixation in the treatment group to be XiaoHuoLuoDan, with the joint functional exercise, functional exercise routine control group. Results：The treatment group and control group had no wound infection,flap necrosis, bone and plate exposure and so on. 47 patients were followed up for 4 to 10 months; an average of 6. 8 months, with Kolmert evaluation criteria evaluation, the treatment group were excellent in 15 cases, good in 5 cases,in 2 cases and poor in 1 case;the control group were excellent in 5 cases,good 8 patients, in 9 cases,poor in 2 cases, differences between two groups were statistically significant （ P 〈 0. 05 ）, treatment group was significantly better than the treatment group. Conclusion： XiaoHuoLuoDan of distal femoral fractures help to improve knee joint function.