摘要
作者总结自１９８７～１９９５年该院收治的由创伤所致７８例，８４个下肢“浮膝”损伤病人的治疗及愈后情况。目的是经过统计学处理探讨不同治疗方法对日后膝关节功能恢复和受伤初期全身情况的影响。其中６７例病人伴有创伤失血性休克及严重危及生命的多发伤。４０侧行切开复位内固定术，２４侧行支架外固定，余２０侧采用牵引复位。住院时间平均７５天。伤后随访３～３６个月，平均１２个月。膝关节平均活动度１１０°，优良率为７２．８％。根据本组病人多存在危及生命的病理改变。作者主张“有限手术论”，即在减少对危重病人生理环境的干扰下，给予一处骨折内固定或支架外固定，使其成为单一骨折，给膝关节赢得恢复的时间及条件。该损伤中交叉韧带损伤的问题不容忽视。
The authors reviewed eighty four consecutive ipsilateral fractures of the femur and tibia in seventy eight patients from 1987～1995. The aim of this study is to assess the results of different therapies through statisticalanalysis. Sixty seven patients had concomitant shock of trauma and hemorrhage and multiple life threatening injuries. Twenty five femoral fractures and fifteen tibial fractures were internally fixed. Twenty tibial fractures and four femoral fractures were given external brace fixation. Twenty cases adopted tractive reduction. The average duration of hospitalization was seventy five days.At the last follow up examination with an average of twelve months after injure, the mean range of motion of the knee was 110 degrees. Over all, a good and excellent function result was achieved in about 72.8% . The author suggest a principle of limited operation for the group of severely injured patients , that is just to have one fracture fixation so that the interference to the injured body be minished. The injury of cruciate ligments should not be ignored.
出处
《中华骨科杂志》
CAS
CSCD
北大核心
1997年第6期357-360,共4页
Chinese Journal of Orthopaedics
关键词
浮膝
内固定
支架
多发伤
Floating knee Interal fixation Cast brace Multiple injury
