摘要
目的研究交锁髓内针内固定及血管修复治疗浮膝合并胭动脉损伤的临床效果。方法我院1999年1月至2004年7月对15例患者采用交锁髓内针固定股骨及胫骨骨折、血管修复术治疗胭动脉损伤，术中常规小腿骨筋膜室切开减压，随访其疗效。结果本组病例随访时间16．3个月（8～24个月）。所有患者受伤肢体均存活，骨折随访均获骨性愈合。无感染及内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7例，良5例，中2例，差1例，术后HSS评分88，1分（78～93分）。结论交锁髓内针治疗浮膝合并胭动脉损伤具有手术时间短，术中可同时处理膝关节内的损伤等优点，但要求有良好的操作技巧。
Objective To study the outcome of intramedullary nail in the treatment of floating knee with popliteal artery injury. Methods From January 1999 to July 2004,15 cases floating knee with popliteal artery injury were treated by intramedullary nail and blood circulation reconstruction was done by decompression of osteocompartment of the leg. The clinical results were observed. Results All patients received a followup period of 16.3 months （8- 24 months）. All patients got bony union. No infection and no broken of intramedullary nail occurred, in this group, excellent results were obtained in 7 cases,good in 5 cases,fair in 2 eases and poor in 1 case. Postoperative HSS score were 88.1 （78- 93）. Conclusion In the treatment of floating knee with popliteal artery injury,intramedullary nail has the advantages of shorter operative time and stable fixation, and can treat intraarticular injury with the same incision .
出处
《临床外科杂志》
2006年第12期803-804,共2页
Journal of Clinical Surgery
关键词
浮膝损伤
交锁髓内针
胭动脉损伤
floating knee injury
intramextullary nail
popliteal artery injury
