摘要
目的 了解漂浮膝的伤情规律 ,观察手术治疗漂浮膝的疗效。方法 总结从 1994年 4月～ 2 0 0 3年 4月间我院收治的 6 7例 71个下肢漂浮膝损伤患者的临床资料。损伤程度评分 (ISS)为 2 4 2分。 5 0例术后平均随访 2 8年 (1～ 10年 )。疗效评定采用Karlstr m及Olerud标准。结果 获得随访 5 0例 ,其膝关节平均活动度 10 8° ,优良率 78%,骨折不愈合或延迟愈合 6例(其中感染性骨不连 4例 )。结论 漂浮膝损伤其治疗至今仍具有挑战性 ,应积极施行手术固定 ,为膝关节主动或被动功能锻炼创造条件 ,该损伤中韧带的损伤不容忽视 ,术后康复治疗也非常重要。
Objective To understand the mechanism of floating knee,and observe the efficacy of different operative methods treating floating knee.Methods The clinic data of the sixty seven consecutive ipsilateral fracture of the femur and tibia was summarized since April,1994 to April,2003.The average Injury Severity Score(ISS) was 24.2 point.The mean follow-up time was 2.8 years(1～10).The outcome was assessed according to the criteria of Karlstrm and Olerud.Results Seventy eight percent excellent and good results were obtained.Six patients required multiple surgeries because of delayed unions or nonunion(including four cases of chronic osteomyelitis).The mean range of motion of the knee was 108 degrees.Conclusion Treatment of floating knee injuries remains a challenging problem,as they are usually associated with extensive and severe soft tissue trauma and other serious associated injuries.Through operative stabilization,the aim for early rehabilitation and mobilization of the injured legs can be obtained.So we can reduce complications and attain reasonably good functional outcome.The injuries of ligments should not be ignored.An aggressive rehabilitation program after operation also is very important.
出处
《中国骨与关节损伤杂志》
2005年第1期32-34,共3页
Chinese Journal of Bone and Joint Injury
