膝前正中切口入路治疗股骨髁间骨折
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作者Author单位AddressE-Mail
尹自飞 YIN Zi-fei 南京中医药大学附属昆山中医医院骨科, 江苏 昆山 215300 Department of Orthopaedics, Affiliated Kunshan Hospital of Chinese Medicine, Nanjing University of Chinese Medicine, Kunshan 215300, Jiangsu, China  
孙斌峰 SUN Bin-feng 南京中医药大学附属昆山中医医院骨科, 江苏 昆山 215300 Department of Orthopaedics, Affiliated Kunshan Hospital of Chinese Medicine, Nanjing University of Chinese Medicine, Kunshan 215300, Jiangsu, China  
杨小海 YANG Xiao-hai 南京中医药大学附属昆山中医医院骨科, 江苏 昆山 215300 Department of Orthopaedics, Affiliated Kunshan Hospital of Chinese Medicine, Nanjing University of Chinese Medicine, Kunshan 215300, Jiangsu, China  
汪清 WANG Qing 南京中医药大学附属昆山中医医院骨科, 江苏 昆山 215300 Department of Orthopaedics, Affiliated Kunshan Hospital of Chinese Medicine, Nanjing University of Chinese Medicine, Kunshan 215300, Jiangsu, China  
钱平康 QIAN Ping-kang 南京中医药大学附属昆山中医医院骨科, 江苏 昆山 215300 Department of Orthopaedics, Affiliated Kunshan Hospital of Chinese Medicine, Nanjing University of Chinese Medicine, Kunshan 215300, Jiangsu, China  
吴晓峰 WU Xiao-feng 南京中医药大学附属昆山中医医院骨科, 江苏 昆山 215300 Department of Orthopaedics, Affiliated Kunshan Hospital of Chinese Medicine, Nanjing University of Chinese Medicine, Kunshan 215300, Jiangsu, China  
徐锋 XU Feng 南京中医药大学附属昆山中医医院骨科, 江苏 昆山 215300 Department of Orthopaedics, Affiliated Kunshan Hospital of Chinese Medicine, Nanjing University of Chinese Medicine, Kunshan 215300, Jiangsu, China 767782111@qq.com 
期刊信息:《中国骨伤》2017年,第30卷,第12期,第1147-1150页
DOI:10.3969/j.issn.1003-0034.2017.12.014
基金项目:
中文摘要:

目的:探讨膝前正中切口治疗股骨髁间骨折的临床疗效。

方法:自2012年9月至2015年3月收治24例股骨髁间骨折患者,其中男17例,女7例,年龄20~65岁,平均(38.3±9.5)岁。交通事故伤12例,摔跌伤8例,高处坠落伤4例。均为闭合性骨折。受伤至入院时间30 min~8 h,平均(2.2±0.3)h。按AO/ASIF分型,B1型4例,B2型3例,B3型2例,C1型5例,C2型6例,C3型4例。采用膝前正中切口切开复位内固定术。观察患者手术时间、术中出血量、术后并发症情况,并采用Kolmert膝关节功能评分评价膝关节功能恢复情况。

结果:24例患者术后获得随访,时间6~12个月,平均(9.0±1.7)个月。手术时间50~90 min,平均(70.0±8.2)min,术中出血量90~400 ml,平均(180±36)ml;负压引流量30~90 ml,平均(50.0±7.1)ml。所有患者Ⅰ期愈合,无切口感染、内固定物松动、断裂、骨不连以及深静脉血栓等并发症发生。末次随访采用Kolmert膝关节功能评分标准评定,优16例,良5例,一般3例。

结论:采用膝前正中切口治疗股骨髁间骨折临床疗效良好,具有骨折解剖复位、软组织损伤小、操作简单等优点。
【关键词】股骨  骨折固定术,内  膝关节
 
Antero-medial incision of knee joint for the treatment of intercondylar fracture of femur
ABSTRACT  

Objective: To explore the clinical effect of antero-medial incision of knee joint in treating intercondylar fracture of femur.

Methods: From September 2012 to March 2015,24 patients with intercondylar fracture of femur were selected,including 17 males and 7 females,aged from 20 to 65 years old with an average of(38.3±9.5) years old. Among them,12 cases were caused by traffic accident,8 cases were caused by falling injury and 4 cases were caused by falling down. All patients were closed fractures. The time from injury to hospital was from 30 min to 8 h with an average of(2.2±0.3) h. According to AO classification,4 cases were type B1,3 type B2,2 type B3,5 type C1,6 type C2 and 4 type C3. All patients were treated with antero-medial incision of knee joint. Operative time,blood loss and postoperative complications were observed and recovery of keen function was evaluated by Kolmert scoring.

Results: All patients were followed-up from 6 to 12 months with average of (9.0±1.7) months. Operative time ranged from 50 to 90 min with an average of (70.0±8.2) min; blood loss ranged from 90 to 400 ml with an average of (180±36) ml;negative pressure flow was from 30 to 90 ml, with an average of (50.0±7.1) ml. All fracture were healed at stageⅠwithout loosening of internal fixator,fracture nonunion,and deep vein thrombosis. According to Kolmert scoring,16 patients got excellent result,5 patients good and 3 fair.

Conclusion: Antero-medial incision of knee joint in treating intercondylar fracture of femur,which has advantages of good fracture reduction,less injury of soft tissue and simple operation,could obtain good clinical results.
KEY WORDS  Femur  Fracture fixation,internal  Knee joint
 
引用本文,请按以下格式著录参考文献:
中文格式:尹自飞,孙斌峰,杨小海,汪清,钱平康,吴晓峰,徐锋.膝前正中切口入路治疗股骨髁间骨折[J].中国骨伤,2017,30(12):1147~1150
英文格式:YIN Zi-fei,SUN Bin-feng,YANG Xiao-hai,WANG Qing,QIAN Ping-kang,WU Xiao-feng,XU Feng.Antero-medial incision of knee joint for the treatment of intercondylar fracture of femur[J].zhongguo gu shang / China J Orthop Trauma ,2017,30(12):1147~1150
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