关键词:膝损伤;骨折固定术
【摘要】 目的 探讨手术治疗浮膝损伤的意义。方法 根据不同骨折部位采用不同内固定器械及外固定治疗浮膝损伤52例,其中34例胫骨、38例股骨切开复位内固定,18例胫骨、14例股骨用外固定支架固定。结果 45例经6个月~4年(平均1.5年)随访,优30例,良5例,中4例,差6例。优良率83.3%。结论 早期手术固定有利于严重多发伤的治疗和骨与关节功能恢复,开放性骨折一期内固定的前提是有效彻底清创;早期应用外固定器治疗浮膝损伤可减少出血性休克、脂肪栓塞等并发症,并具有操作简单、固定牢固、手术损伤小、感染率低等优点。
【中图分类号】 R684
Operation on 52 cases ofthe floating knee
He Runji, Xu Jingbin
(Department of Orthopaedics, The2nd Hospital of Suzhou, Suzhou,Jiangsu 215002)
【Abstract】 Objective To investigate the significance of surgery of the floatingknee. Methods Different parts of the fracture were treated in 52 cases withdifferent internal fixation and external skeletal fixation. 72 fractures were treated withopen reduction and internal fixation(34 tibias, 38 femurs). 18 tibial fractures and 14femoral fractures were given external brace fixation. Results 45 cases were followed up for 6 months to 4 years with anaverage of 1.5 years. The results in 30 cases were excellent, 5 cases showed good results,4 cases fair and 6 cases poor results. The rate of excellent and good results accountedfor 83.3%. Conclusion Early fixation has advantage to the treatment of severe multiplebone and joint injuries and restoration of the function. For open fractures stage Iinternal fixation should be performed after complete and timely debridement.In thetreatment of the floating knee,immediate use of external fixation can reduce thecomplication of hemorrhagic shock and fat embolism. It has the advantages of simplermanipulation, rigid fixation, less blood loss and lower infection rate.
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