股骨干骨折合并膝关节损伤的临床分析

Femoral fractures combined clinical analysis of knee joint injury

目的：探讨股骨干骨折合并膝关节损伤的临床表现及诊断要点，总结临床治疗经验。方法：选取2013年11月～2015年11月期间在我院接诊的15例股骨干骨折合并膝关节损伤患者，将其作为本研究的主要研究对象，对15例股骨干骨折合并膝关节损伤患者的临床资料进行回顾性分析，了解所有患者的临床特点，并总结股骨干骨折合并膝关节损伤的诊断要点。结果：15例股骨干骨折合并膝关节损伤患者治疗后，其中显效8例，有效6例，治疗总有效率为93．33％，无明显的复发现象，无缺血性坏死等并发症，其中有1例患者畸形治疗。轻度疼痛1例，所占比例为6．67％，中度疼痛患者3例，所占比例为20．00％，无重度疼痛患者，平均手术时间为48．75±9．13分钟，骨折愈合的平均时间为9．15±2．03周。股骨干骨折合并膝关节损伤患者SAS、SDS评分分别为16．09±5．97分、15．36±6．32分。结论：在当前股骨干骨折合并膝关节损伤的临床诊断过程中，一般采用常规的X线检查，如果患者临床症状复杂，在必要的情况下，需要给予患者临床动态检查，在股骨干骨折合并膝关节损伤临床治疗过程中，复位内固定手术治疗为有效的治疗方法，安全性高。

Objective：To study the femoral fracture merge points of clinical manifestations and diagnosis of knee injuries , summarize the clinical experience .Methods：in November 2013 to November 2015 in our hospital during the period of merger accepts the 15 cases of femoral fractures patients with knee injuries, as the main research object of this study , 15 cases of femoral fracture merge the clinical data of patients with knee injuries were analyzed retrospectively , understand all of the patients clinical characteristics , and summarize the main points femoral fracture merge the diagnosis of knee joint injury .Results：15 cases of femoral fractures after combined treatment of patients with injury of knee joint , of which 8 cases were markedly effective , 6 cases effective , treatment the total effective rate was 93.33%, no recurrence , no complications such as avascular necrosis , including 1 case of abnormalities in patients with treatment .Mild pain in 1 case, the proportion was 6.67%, 3 patients with moderate pain , the proportion was 200.0 %, with no severe pain patients , the average opera-tion time was （48.75 ＋9.13） min, the average time for fracture healing （9.15 ＋2.03）weeks .Femoral fracture merge the knee joint injury in patients with SAS, SDS score points respectively （16.09 ＋/-5.97）, （15.36-6.32）.Conclusion： the combination of knee injuries in the current femoral fractures of the clinical diagnosis process , generally should use the conventional X -ray, if clinical symptoms in patients with complex , if necessary , to give patients clinical dynamic inspection , merge in femoral fractures knee injury dur-ing the process of clinical treatment , reduction and internal fixation of the surgical treatment for effective treatment , high safety.