【摘要】 为探讨膝、肘关节碎性骨折的两种不同疗法的应用价值。对手术治疗的54例膝、肘关节内骨折,随机分为改良AO张力带固定组(A组)和传统治疗方法组(B组)进行对比观察。A组内固术中测试、关节活动度正常,骨折块无移位为固定可靠;术后石膏固定者,平关节面横行折断石膏托,消除有害旋转应力,关节在轴位功能锻炼恢复。术后随访1～12个月,A组骨折愈合时间2～4个月,骨折愈合率95.8％;B组骨折愈合时间3～6个月,骨折愈合率83.3％。两组骨折愈合率及关节功能恢复情况具有显著性差异(P<0.01)。认为影响膝、肘关节功能的开放性粉碎性骨折,应清创同时解剖复位,采用改良AO张力带固定,术后强化功能锻炼能促进骨折愈合及关节功能的恢复。更多还原

【Abstract】 To investigate the clinical effect of different treatment of knee or elbow joint fracture. 54 caseswere randomly divided into two groups (group A and B). 24 cases of group A fixed with tension strap and mostfractures were repositioned to recover the joint mobility in operation. Post-operation plasters were broken off inorder to eliminate harmful torsion stress,after then joints were exercised on axis position. All cases were followedup 1 to 12 months,The average fracture convalescont period of group A was 2 to 4 months,and the cure rate was95. 8%,group B was 3 to 6 months,and the cure rate was 83. 3%. There was significant difference between thetwo groups (P<0. 01). Comminuted fractures impairing joint function especially the opened wound should beanatomically repositioned and fixed with tension strap. Joint exercises can promote recovery for the post-operation patients.更多还原