股骨干骨折合并膝关节损伤患者不同术式的临床疗效观察

Observation of clinical efficacies of different surgical methods for patients with femoral shaft fractures combined with knee injury

目的:观察股骨干骨折合并膝关节损伤患者不同术式的临床疗效。方法:将86例股骨干骨折合并膝关节损伤患者按照不同手术方式随机分为前外侧组、外侧组和后外侧组。前外侧组患者24例,采用前外侧入路手术,外侧组患者32例,采用外侧入路手术,后外侧组患者30例,采用后外侧入路手术。比较3组患者术后临床疗效及手术前后HSS评分情况。结果:外侧组和后外侧组患者术后优良率和HSS评分均显著高于前外侧组患者(P<0.01),后外侧组患者术后优良率好于外侧组(P<0.05),但两组患者的HSS评分比较差异不明显(P>0.05)。结论:股骨干骨折合并膝关节损伤患者采用不同术式的疗效优劣依次为外侧入路、后外侧入路和前外侧入路。

Objective:To observe clinical efficacies of different surgical methods for patients with femoral shaft fractures com-bined with knee injury. Methods:86 cases with femoral shaft fractures combined knee injury were randomly divided into three groups according to different surgical methods. The anterolateral group (24 patients) was treated by the anterolateral surgery;the lateral group (32 patients) was treated by the lateral surgery;while the posterolateral group (30 patients) was treated by the posterolateral surgery. The clinical efficacies after the operation and HSS scores before and after the operation of the three groups were compared. Results:The good rates and HSS scores of lateral group and posterolateral group were significantly higher than those of anterolateral group ( P<0. 01). The good rate of posterolateral group was better than that of lateral group (P<0. 05), however, there was no significant differ-ence in the HSS scores between the two groups (P>0. 05). Conclusions:For the treatment of femoral shaft fractures combined knee injury, the lateral approach surgery has the best efficacy, followed by posterolateral and posterolateral approaches.