51例浮动膝关节损伤的治疗

Treatment of floating knee joint injury in 51 cases

目的 探讨浮动膝关节损伤的最佳治疗方法。 方法 将 5 1例浮膝损伤按张伯勋等分类法分成 3型 :Ⅰ型 19例 ,Ⅱ型 19例 ,Ⅲ型 13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 3种治疗方法进行比较。 结果 本组优良率为 78.43% (4 0 5 1) ,骨牵引 +夹板外固定优秀率为 13.6 3% (3 2 2 ) ,外固定支架优秀率为 44 .44 % (4 9) ,手术切开复位内固定优秀率为 80 .0 0 % (16 2 0 )。 结论 对浮动膝关节损伤病人 ,应视其全身情况及局部软组织条件选择治疗方法。

Objective To study a method of treatment of traumatic floating knee joint injury. Methods Fifty one cases with traumatic floating knee joint injury were classified into 3 types according to Zhang's classification: 19 cases in Type Ⅰ ,19 cases in TypeⅡ ,8 cases in Type Ⅲa and 5 cases in Type Ⅲb , and underwent skeletal traction plus splint fixation, external supporter fixation and open reduction plus internal fixation, respectively. The three treatments were compared. Results The excellent rates were 13.63% , 44.14% and 80% in the skeletal traction plus splint fixation group, the external supporter fixation group and the open reduction plus internal fixation group, respectively. The total fine rate was 78.43% in the 51 cases. Conclusions The open reduction plus internal fixation has the best curative effect. The treatment method should be selected according to the whole or local soft tissue conditions.