摘要
目的:探讨股骨远端复杂骨折不同内固定手术治疗效果.方法:对45例股骨远端骨折(B型以上)患者按不同内固定手术治疗的疗效行回顾性调查,对术后膝关节功能进行评价.结果:45例均获随访,骨折均在6～12个月内愈合.按Karlstrom的评价标准,动力髁螺钉优良率83.3%,解剖型钢板优良率90%,克氏针加松质骨螺钉优良率42.8%.结论:解剖型钢板是治疗股骨远端复杂骨折最理想的方法;克氏针加松质骨螺钉对严重开放粉碎性骨折是一种有效的保守疗法.
Objective： To discuss the clinical outcome of different internal fixations in treating complex distal femoral fractures. Methods： Forty-five cases of distal femoral fractures were reviewed retrospectively and evaluation of the knee function was made based on the clinical results of different fixations. Results： The fractures of 45 cases healed completely during the follow-up of 6 to t2 months. According to Karlstrom＇s standard, the excellent rate was 83.3% by dynamic condylar screw,90% by anatomic plate and 42.8% by K-wire plus cancellous screws. Conclusions：Anatomic plate is the best method for treatment of distal femoral fractures and K-wire plus cancellous screws is relatively conservative but efficient for severe open comminuted distal femoral fractures.
出处
《蚌埠医学院学报》
CAS
2005年第5期429-430,共2页
Journal of Bengbu Medical College
关键词
股骨骨折
骨折固定术
内
髓内钉
femoral fractures
fracture fixation, {ntemal
intramedullary pin
