股骨远端骨折的手术治疗

【摘要】 目的探讨股骨远端骨折手术治疗的方法和临床疗效。方法本组56例,根据AO/ASIF分型,A型29例,B型12例,C型15例。分别采用逆行交锁髓内钉、动力髁螺钉、股骨髁钢板内固定。术后随访6个月～4年。结果所有患者骨折均在5～14个月内愈合。根据Kolmert功能评定标准,膝关节功能优35例,良13例,中6例,差2例,优良率85.7%。结论手术治疗股骨远端骨折能最大限度获得骨折复位和肢体功能的恢复。良好复位,可靠内固定,早期功能练习,临床疗效满意,是治疗股骨远端骨折的理想方法。更多还原

【Abstract】 Objective To investigate the surgical therapy and clinical results of the distal femoral fractures. Methods 56 cases of distal femoral fractures were treated by open reduction and internal fixation. According to the AO/ASIF classification,there were 29 cases type A fracture,12 cases type B fracture,15 cases type C fracture. Treated by Retrograde intramedullary nail,dynamic condylar screw ,condylar plate. The followed-up period varied from 6 months to 48 months. Results All the fractures healed in 5 to 14 months .According to Kolmert for distal femoral function,the result of the treatment was evaluated as excellent in 35 patients,good in 13 patients,fair in 6 patients and poor in 2 patients. The excellent rate was 85.7%. Conclusion The surgical treatment of distal femoral fractures can resume anatomical structure,restore limb function maximally. Anatomical reduction, secure fixation and early rehabilitation exercise. Surgical Treatment is good for the treatment of distal femoral fractures.更多还原