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手术治疗创伤性浮膝疗效分析

The operation treatment effect of floating knee injury

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【作者】 张俊王劲熊志云蔡伟凡

【Author】 ZHANG Jun;WANG Jin;XIONG Zhi-yun;Department of Orthopedics,The First Hospital of Changde;

【机构】 常德市第一人民医院骨二科

【摘要】 目的总结创伤性浮膝治疗经验,并探讨浮膝损伤的手术方法及临床疗效。方法 12例浮膝损伤患者除1例合并血管神经损伤者行外固定支架固定术外,其余11例患者均行二期开放复位内固定术治疗。结果采用Karlsfrom和Olerud制定的评定标准进行评价:优6例,良4例,可1例,差1例,优良率为83.3%。结论创伤性浮膝损伤,应在生命体征平稳后采用合适内固定方式手术治疗,防止严重并发症的产生,尽可能恢复患者关节功能。

【Abstract】 Objective To observe the treatment effects of operation in floating knee injury.Methods 11 patients with floating knee injury were treated with selective operation.1patient combined vascular nerve injury performed emergency operation with external fixation.The fracture was treated with external fixation,plate and intramedullary fixation.The injury soft tissue was repaired with primary suture,skin grafting and tissue flap transposition.Results According to the Karlstrom and Olerud score system,6cases were excellent,4cases were good,1case was fair and 1cases was poor.Conclusion During the treatment of floating knee injury,we should pay more attention to the soft tissue repair,combined injury treatment,use suitable and personally treatment to recovery the function of patients maximally.

【关键词】 浮膝损伤骨折内固定术疗效
【Key words】 Floating knee injuryInternal fixation
  • 【文献出处】 西部医学 ,Medical Journal of West China , 编辑部邮箱 ,2014年12期
  • 【分类号】R687.4
  • 【被引频次】1
  • 【下载频次】25
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