| 膝前正中切口入路治疗股骨髁间骨折 |
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投稿时间：2017-10-20
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| 作者 | Author | 单位 | Address | E-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 |
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| 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 |
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| 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 |
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| 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 |
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| 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 |
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| 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 |
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| 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 |
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| 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: |
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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 |
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| Antero-medial incision of knee joint for the treatment of intercondylar fracture of femur |
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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 |
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| 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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