【摘要】 股骨远端骨折属于关节周围骨折,其发生率较低,易导致膝关节僵硬、畸形,骨折延迟愈合、不愈合,创伤性关节炎等并发症,临床治疗困难。其治疗目的主要为重建膝关节稳定性,促进患者早期膝关节功能训练,改善患者预后。目前可选择的治疗方式有保守治疗、外固定治疗、内固定治疗以及全膝关节置换等,但随着技术和内固定材料的发展,保守治疗逐渐淘汰,手术治疗成为首选。本文就股骨远端骨折解剖特点及分型、术前管理及手术治疗方式作一综述。更多还原

【Abstract】 Distal fractures of the femur belong to peri-articular fractures, and their incidence is low, which can lead to knee stiffness, deformity,delayed healing, non-union of fractures, traumatic arthritis and other complications, and clinical treatment is difficult. The main purpose of its treatment is to reconstruct the stability of the knee joint, promote the early knee function training of patients, and improve the prognosis of patients. Currently available treatments include conservative treatment, external fixation, internal fixation, and total knee arthroplasty. However,with the development of technology and internal fixation materials, conservative treatment is gradually eliminated, and surgical treatment has become the first choice. This article reviews the anatomical characteristics and classification of the distal femoral fractures, preoperative management and surgical treatment.更多还原