锁定钢板和骨痂植骨治疗股骨髁间粉碎性骨折

Treatment of femur intercondylar comminuted fracture with locking-plate internal fixation and callus-grafting

目的探讨锁定钢板和骨痂植骨在治疗股骨髁间粉碎性骨折的临床疗效。方法自2008年2月～2010年7月共收治的17例股骨髁间粉碎性骨折患者,AO分型C2型11例、C3型6例。均采用锁定钢板固定和骨痂植骨,术后第4天即开始早期膝关节的功能锻炼。结果所有病例均得到随访,随访时间为6～20个月。骨折均愈合,愈合时间为3～6个月,平均4.5个月。按Merchan[1]膝关节疗效标准,优10例,良4例,可3例,优良率82.3%。结论锁定钢板和骨痂植骨治疗股骨髁间粉碎性骨折可获得满意疗效,该方法具有内固定可靠、骨折愈合快、关节功能恢复良好等优点。

Aim To explore the clinic effect of locking plate internal fixation and callus-grafting on femur intercondylar comminuted fracture.Methods 17 cases of femur intercondylar comminuted fracture were treated with open reduction and internal fixation by locking plate and callus-grafting.By AO classification,11 cases were regarded as C2,6 cases C3.The knee jiont＇s function exercises of all the cases begun gradually on the fourth day after operation.Results All the cases were followed up for 6 months to 2 years after operation.All the fracture healed in 3 to 6 months.According to Merchan＇s knee function score system,10 knees were rated as excellent,5 good,and 3 fair.The total good and excellent rate was 88.2%.Conclusion Locking plate internal fixation and callus-grafting are satisfiactory in treatment of femur intercondylar comminuted fracture.This mothod owns merits of fast bone healing,steady fixation and good knee jiont function.