创伤性浮膝的救治体会

Treatment Experiences of Traumatic Floating Knee

目的探讨创伤性浮膝的临床特点及救治体会。方法回顾性分析2005—2013年铁法煤业集团总医院骨科收治的27例浮膝损伤患者的临床资料，所有患者均采用手术治疗，并均获得临床回访，随访时间2～3年，观察骨折愈合及膝关节功能情况，总结得出创伤性浮膝的救冶方法和体会。结果所有患者，骨折均获临床骨性愈合。结论创伤性浮膝的治疗应以挽救生命，保全肢体和功能为原则，术后应尽早进行功能锻炼，有效预防并发症的发生。

Objective To investigate the clinical characteristics and treatment experiences of traumatic floating knee. Methods The clinical data were collected from the 27 patients with traumatic floating knee, which were recruited from Orthopedics Department, TieMei Group General Hospital during the periods of 2005 to 2013. All patients underwent surgical treatment, and were followed up for 2-3 years. We observed the fracture healing and knee-joint recovery, and analyzed the treatment experiences of traumatic floating knee. Results The fractures were healed and reached bony union in patients underwent surgical treatment. Conclusion The therapy objective is to survive, save the limbs, keep function for floating knee treatment. It is important to perform functional exercises early and prevent complication effectively.