摘要
目的评价3种内固定方法治疗股骨远端复杂骨折的临床疗效。方法手术治疗67例（68侧）股骨远端复杂骨折。AO分类：A3型30侧，c2型23侧，c3型15侧。髁动力加压钢板16例，股骨髁上逆行交锁髓内钉16例17侧，股骨髁解剖型支撑钢板33例，其他螺钉克氏针2例。术后2dCPM辅助功能锻炼。结果随访至骨折愈合，68侧骨折中，1例感染及1例骨折不愈合。按Kolment疗效评定标准：优24侧，良33侧，可9侧，差2侧。结论应根据股骨远端复杂骨折的特点选用合适的内固定方法，解剖复位，稳定的内固定，早期的康复训练，以获得良好的疗效。
Objective To assess the clinical outcomes of dynamic condylar plates （DCP）, retrograde intramedullary nailing and condylar buttress plates in treatment of complex fracture of distal femur. Methods A total of 67 patients （68 fractures） with complex fracture of distal femur were treated operatively. There were 30 fractures of type A3, 23 of type C2 and 15 of type C3 according to AO classifications. Of all, 16 fractures were treated with DCP, 17 with retrogTade intramedullary nailing and 33 with condylar buttress plates. All patients underwent functional exercises of knee joints with the aid of CPM two days postoperatively. Results Follow-up lasted until complete fracture union. Of 68 fractures, there was one fracture infection and one fracture nonunion. According to the Kolment rating system, 24 fractures were excellent, 33 good, 9 fair and 2 poor. Conclusions A right selection of internal fixation is based on characteristics of distal femur fractures. Anatomical reduction, rigid internal fixation and an early postoperative rehabilitation are the key factors to getting satisfactory clinical outcomes.
出处
《中华创伤杂志》
CAS
CSCD
北大核心
2007年第11期852-854,共3页
Chinese Journal of Trauma
关键词
股骨骨折
骨折固定术
内
疗效评估
Femoral fractures
Fracture fixation, internal
Outcome assessment
