应用双钢板治疗股骨髁间C型骨折的临床疗效分析

Bilateral Plate Fixation for the Treatment of Distal Femoral C-type Fractures

目的:探讨双钢板内固定治疗股骨髁间C型骨折的临床疗效。方法:2009年4月～2012年4月,我院创伤科通过运用双钢板内固定治疗股骨远端C型骨折41例,按照Muller分型:C2型29例,C3型12例,外侧运用股骨远端外侧锁定加压钢板,内侧对侧"L型"胫骨平台支持板固定。根据骨折固定情况于术后3 d开始CPM被动训练。术后随访观察骨折愈合情况及膝关节功能恢复情况。结果:41例患者均得到随访,时间为6～46个月,平均27个月,全部患者骨折均得到愈合,平均愈合时间为6～12个月。膝关节功能评价依据Karlstrom评价标准,优24例,良12例,可4例,差1例,优良率87.8%。结论:运用双钢板切开复位内固定治疗股骨髁间C型骨折,能够使骨折达到解剖复位,并且坚强内固定有利于早期功能锻炼疗效较好。

Objective： To investigate clinical effect of double- plate in the treatment of C - type distal femoral fractures. Methods： To analyze the clinical numerical data and result in open- operation of 28 cases of adult distal femoral C- type fractures were treated with bilateral plate from April 2009 to April 2012. According to Muller classification：C2 29cases, C3 12cases, All of the cases were treated with internal fixation with Lateral distal femur locking compression plate and support plate of tibial plateau. According to fracture fixation the pa- tients began to train with CPM after 3 days. Results： 41 cases were followed u from 6--46 months with an av- erage of 27 months. Depending on Karlstrom＇s scoring system of function of knee joint, 24cases obtained excel- lent, 12 good, 4fair and 1 poor, the rate of excellent and good were 87.8%. Conclusion： Bilateral plate fixation for the treatment of distal femoral C- type fractures could provide for satisfied cinical results.