膝部复杂骨折的内固定治疗

The Treatment of Complex Fractures of the Knee by Internal Fixation

目的 :探讨膝部复杂骨折的治疗方法。提出内固定分级。方法 :自 1994～ 1999年收治膝部复杂骨折 43例 ,经切开复位 ,应用多种内固定器材分级内固定 42例。结果 :经 6个月～ 5年随访 ,优良率 80 .1%。结论 :认为采用切开复位分级内固定方法适于膝部复杂骨折 ,强调术后早期功能锻炼及CPM应用 。

Objective: To investigate the treatment for complex fractures of the knee.The authors put forward internal fixation classification and reviewed 42 cases with complex fractures of the knee from 1994 to 1999. They were treated by classified-internal fixation with manifold equipments of internal fixation.Results:The follow-up were 6 to 60 months.Of these,good result was 80.1%.Conclusion:Open reduction and classified-internal fixation may be uesd for treatment of the complex fractures of the knee.The authors suggest early functional exercises and CPM after operation,The authors put forward that internal fixation classification has an important reference value for formulation of the scheme of treatment.