69例股骨髁骨折的手术治疗分析
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摘要
目的探讨手术治疗股骨髁部骨折的临床效果。方法对我院2009年9月至2011年9月收治的69例股骨髁部骨折患者手术后的临床资料进行回顾性分析,了解患者手术治疗后随访情况,评估患者术后骨折愈合和关节活动恢复效果。结果对所有患者随访6～18个月,按照Kolmenrt评定标准对临床疗效进行判定,其中评分为优48例(69.57%),良17例(24.64%)、一般3例(4.35%)、差1例(1.44%),优良率为94.21%。结论手术治疗股骨髁骨折疗效肯定,并发症少,骨折愈合较好,总体疗效令人满意。
Objective To investigate the clinical effect of surgical treatment for femoral condyle fractures.Methods The clinical data of 69 cases femoral condyle fractures patients who were treated in our hospital from September 2009 to September 2011 were collected and retrospectively analyzed.Evaluate the assessment of postoperative fracture healing and joint activities recovery.Results All patients were followed up for 6 to 18 months.The clinical efficacy were determined according to the Kolmenrt's assessment standards.The score was excellent in 48 cases(69.57%),good in 17 cases(24.64%),medium in 3 cases(4.35%) and poor in 1 case(1.44%).The good rate was 94.21%.Conclusion Surgical treatment has an important clinical value for femoral condyle fracture,and there were fewer complications,better fracture healing and a satisfactory efficacy.
Objective To investigate the clinical effect of surgical treatment for femoral condyle fractures.Methods The clinical data of 69 cases femoral condyle fractures patients who were treated in our hospital from September 2009 to September 2011 were collected and retrospectively analyzed.Evaluate the assessment of postoperative fracture healing and joint activities recovery.Results All patients were followed up for 6 to 18 months.The clinical efficacy were determined according to the Kolmenrt's assessment standards.The score was excellent in 48 cases(69.57%),good in 17 cases(24.64%),medium in 3 cases(4.35%) and poor in 1 case(1.44%).The good rate was 94.21%.Conclusion Surgical treatment has an important clinical value for femoral condyle fracture,and there were fewer complications,better fracture healing and a satisfactory efficacy.
引文
[1]叶茂,郑勇.手术治疗股骨髁骨折的临床观察[J].咸宁学院学报(医学版),2005,19(2):117-118.
[2]Krettek C,Schandelmaier P,Tscherne H.Distal femoral fracture esTransarticular reconstruction,Percutaneous plateb osteosynthesis and ret-rogradenailing[J].Unfallchirurg,1996,99(1):2-10.
[3]霍东升,史二栓,方刚,等.国人膝关节面的应用解剖学观测[J].局解手术学杂志,2011,20(6):616-617.
[4]刘炳寅.28例股骨髁部骨折手术治疗体会[J].中国现代药物应用,2011,5(5):96-97.
[5]龚伟华,孙月华,朱振安,等.微创技术治疗股骨远端骨折[J].中华创伤骨科杂志,2006,8(4):385-386.
[6]许冰,周林军,谭均,等.股骨远端解剖型锁定钢板治疗股骨远端粉碎性骨折[J].四川医学,2011,32(4):554-555.
[7]林滨,李鄂豫,郑绵英,等.应用解剖型锁定钢板治疗股骨髁骨折的治疗体会[J].中外医疗,2011,10(1):18-19.
[8]张经纬,徐荣明,冯建翔,等.股骨髁粉碎性骨折不同固定方式疗效比较[J].中国骨与关节损伤杂志,2008,23(12):980-982.
[9]曹伟峰,贾文勇.股骨远端逆锁髓内钉治疗股骨远段粉碎性骨折体会[J].局解手术学杂志,2006,15(6):393.
[10]王嘉明.股骨远端骨折的逆行髓内钉治疗[J].局解手术学杂志,2009,18(6):387-388.
[2]Krettek C,Schandelmaier P,Tscherne H.Distal femoral fracture esTransarticular reconstruction,Percutaneous plateb osteosynthesis and ret-rogradenailing[J].Unfallchirurg,1996,99(1):2-10.
[3]霍东升,史二栓,方刚,等.国人膝关节面的应用解剖学观测[J].局解手术学杂志,2011,20(6):616-617.
[4]刘炳寅.28例股骨髁部骨折手术治疗体会[J].中国现代药物应用,2011,5(5):96-97.
[5]龚伟华,孙月华,朱振安,等.微创技术治疗股骨远端骨折[J].中华创伤骨科杂志,2006,8(4):385-386.
[6]许冰,周林军,谭均,等.股骨远端解剖型锁定钢板治疗股骨远端粉碎性骨折[J].四川医学,2011,32(4):554-555.
[7]林滨,李鄂豫,郑绵英,等.应用解剖型锁定钢板治疗股骨髁骨折的治疗体会[J].中外医疗,2011,10(1):18-19.
[8]张经纬,徐荣明,冯建翔,等.股骨髁粉碎性骨折不同固定方式疗效比较[J].中国骨与关节损伤杂志,2008,23(12):980-982.
[9]曹伟峰,贾文勇.股骨远端逆锁髓内钉治疗股骨远段粉碎性骨折体会[J].局解手术学杂志,2006,15(6):393.
[10]王嘉明.股骨远端骨折的逆行髓内钉治疗[J].局解手术学杂志,2009,18(6):387-388.