摘要
目的:研究交锁髓内针和外固定支架治疗浮膝合并下肢主要血管损伤的疗效对比。方法:就我院1999.7～2004.1收治的15例该类患者,采用交锁髓内针固定、血管修复术治疗7例,单臂外固定支架固定、血管修复术8例,随访其疗效。结果:术后随访时间10个月～24个月。本组病例骨折均获解剖复位,随访均获骨性愈合,所有患者受伤肢体均存活。手术切口及减张切口无感染发生,无固定材料松动断裂等发生。术后膝关节功能评价:交锁髓内针组优3例,良2例,中1例,差1例。单臂外固定支架组优3例,良2例,中1例,差2例。结论:交锁髓内针治疗浮膝合并下肢主要血管损伤具有手术时间短,固定牢固,术中可同时处理膝关节内的损伤等优点,为临床治疗膝合并下肢主要血管损伤的较好的方法,但要求有良好的操作技巧,术中有C臂透视机的监控;外固定支架操作简单,术中不需更换体位,但在术后长期固定后,有一定的感染、松动的发生率。
Objective:To study the result of intramedullary nail and external fixator in the treatment of floating knee with main blood vessel injury.Method:From 1999.7-2004.1,7 cases were treated by intramedullary nail,8 cases were treated by external fixator.We followed up for 10-24 months (mean 14.3 months).Result:All patients were anatomical reducted,and got bony union.No infection happened,no broken of intramedullary nail and external fixtor happened.In intramedullary nail group,excellence 3 cases,good 2 cases,fair 1 case,poor 1 case;in external fixtor group,excellence 3 cases,good 2 cases,fair 1 case,poor 2 case.Conclusion:In the treatment of floating knee with main blood vessel injury,intramedullary nail was a good choice.Intramedullary nail have less operative time,stable fixation,can treat intraarticular injury with the same incision.External fixator have simple operative skill,but when long time fixation,some cases have screws infection and lossening.
出处
《华西医学》
CAS
2005年第2期313-314,共2页
West China Medical Journal
