探讨股骨干骨折合并膝关节损伤的临床治疗方法

To Explore the Clinical Treatment of Femoral Shaft Fracture Combined with Knee Joint Injury

目的探析对股骨干骨折合并膝关节损伤患者临床主要治疗方案及应用效果。方法纳入本院2014年至2017年骨科收治股骨干骨折合并膝关节损伤患者30例为分析对象,对所有患者临床资料以回顾性方式分析并归纳此类疾病临床主要特点和诊断要点。结果患者治疗后临床疗效进行评价,治疗总有效率为93.3%(28/30),其中显效17例,有效11例,无效2例。术后随访期间无患者存在复发情况,也无发现有缺血性坏死等相关并发症。术后对患者疼痛情况进行评价,轻度疼痛6例和中度疼痛2例,无患者出现重度疼痛情况。手术平均时间为(48.7±9.1)min,骨折愈合所需平均时间(9.2±2.1)周,均在合理范围内。结论为股骨干骨折合并膝关节损伤患者术前先通过X线确认病情状况,对于临床症状复杂的可根据实际情况决定是否进行临床动态检查,可将复位内固定手术作为首选治疗方案,疗效突出。

Objective To explore the main clinical treatment of femoral shaft fracture combined with knee joint injury and its application effect. Methods 30 cases of femoral shaft fracture combined with knee joint injury were included in our hospital from 2014 to 2017. The clinical data of all patients were retrospectively analyzed and summarized. Results The total effective rate was 93.3%（28/30）, including 17 cases of markedly effective, 11 cases of effective and 2 cases of ineffective. No recurrence occurred during the follow-up period, and no avascular necrosis related complications were found. The postoperative pain was evaluated in 6 with mild pain and 2 with moderate pain. The average operation time was（48.7±9.1） minutes, and the average fracture healing time was（9.2±2.1） weeks. Conclusion To confirm the condition of patients with femoral shaft fracture and knee joint injury by X-ray before operation, if the clinical symptoms are complex, we can decide whether to carry out clinical dynamic examination according to the actual situation, and the reduction and internal fixation operation can be the first choice of treatment, the curative effect is outstanding.