探讨浮动膝关节损伤68例治疗

Explore Floating Knee Injury in the Treatment of 68 Cases

目的对浮动膝关节损伤的最佳治疗方法进行探讨。方法选取我院骨科68例浮膝损伤患者,按张伯勋等分型为:I型23例,Ⅱ型21例,Ⅲ型24例。分别行骨牵引+夹板外固定、外固定支架固定、手术切开复位内固定。术后行持续被动运动(CPM)治疗。对三种治疗方法进行统计比较。结果经三种不同的治疗方法治疗后,有30例优,21例良,12例可,5例差,优良率为75%。其中外固定支架固定优良率为75%,骨牵引+夹板外固定优良率为50%,而手术切开复位内固定优良率为100%。由此可见,手术治疗的疗效明显优于另外两组治疗方法,切外固定支架固定要优于骨牵引+夹板外固定治疗。结论对浮动膝关节损伤患者,应视其全身情况及局部软组织条件选择治疗方法,本次研究中,手术切开复位内固定的疗效最佳。

Objective To floating knee injury of the best treatment method is discussed.Methods The 68 cases of our orthopaedic floating knee injury patients,according to ZhangBoXun uniform type： type I in 23 cases,Ⅱ type 21 cases,Ⅲ type 24 cases.Line respectively bone traction ＋ plywood external fixed,the steady fixed,surgical incision reduction and internal fixed.Postoperative line continuous passive motion（CPM） treatment.The three treatment methods for statistical comparison.Results Through three different treatment after treatment,30 cases of optimal,21 cases were good,12 cases,5 cases of poor,was 75%.The external fixed support fixed rate is 75%,bone traction ＋ plywood external fixed rate is 50%,and surgical incision reduction and internal fixed rate is 100%.Therefore,the effect of surgical treatment was better than the other two groups treatment,cut the steady fixed is superior to bone traction ＋ plywood external fixed treatment.Conclusion The floating knee injury patients,should inspect the systemic and local soft tissue condition selecting treatment,in this study,open reduction and internal operation fixed effect best.