摘要
目的 :探讨应用逆行交锁髓内钉治疗陈旧性股骨髁上骨折钢板断裂不愈合并膝关节僵硬的临床意义。方法 :对 5例患者采用断裂钢板拆除 ,手术松解粘连 ,矫正畸形 ,股骨髁逆行交锁髓内钉固定 ,术后早期应用 CPM机锻炼。结果 :5例随访 8~ 12个月 ,肢体无畸形 ,骨折愈合时间 6~ 9个月 ,平均 7.5个月 ,膝关节功能按 Kolmert评定标准 ,优 4例 ,良 1例。结论 :应用逆行交锁髓内钉治疗股骨髁上陈旧性骨折钢板断裂骨不愈合并膝关节僵硬 ,操作简便 ,固定牢靠 ,可早期功能锻炼 。
Objective:To investigate clinical application and effect of retrograde intramedullary supracondylar(RIMSC) nail in the treatment of old supracondylar fracture of femur combined with stiff knee joint.Methods:5 case were treated with RIMSC nail and arthrolysis were done.All case accepted CPM exercise as early as possible after operation.Results:all cases were followed up for 8 to 12 months.No limb deformity was found and all fracture united within 6 to 9 months(7.5 months on average) after operation.The evalustion of the results by Kolmert′s functional rating scale revealed good in 4 cases and excellent in 1 case.Conclusion:The use of RIMSC nail in treatment of old supracondylar fracture of femur bombined with stiff knee joint has the advantage of simple performance,solid fixation,early exercise and good effect.
出处
《实用骨科杂志》
2003年第2期121-122,共2页
Journal of Practical Orthopaedics