漂浮膝损伤60例临床分析
漂浮膝,,漂浮膝；内固定；关节活动器,1临床资料,2结果,3讨论,【参考文献】
【摘要】 目的 了解漂浮膝的伤情规律，探讨其合理的治疗方案。方法 总结我院1995年8月～2004年8月间共60例漂浮膝损伤患者的临床资料，包括性别、年龄、致伤原因、骨折类型、合并症、治疗方法等，并做疗效跟踪随访。结果 获得随访48例，手术治疗41例，优良者35例，优良率85.4%；非手术治疗7例，优良者3例，优良率42.9%；骨折不愈合或延迟愈合6例(其中感染性骨不连3例)，随访发现，同侧股骨、胫骨髓内钉固定及术后配备关节活动器(CPM)治疗有利于膝关节的功能康复。结论 创伤性漂浮膝行手术治疗并选用同侧髓内钉内固定，术后加用CPM治疗，有其独特的优点和良好的预后。【关键词】 漂浮膝；内固定；关节活动器
Floating knee:a clinic analytical study of 60 cases
ZHANG Peiliang,XIN Jie,GE Jiyu,et al.
Department of Orthopaedics,Weifang Peoples Hospital of Shandong Province,Weifang 261041,China
【Abstract】 Objective To understand the mechanism of floating knee,and find a reasonable treating regime for the floating knee.Methods Clinic data of sixty consecutive ipsilateral fracture of the femur and tibia from August,1995 to August,2004 was reviewed.Including their sex,age,injure cause,fracture type,complication and treating method.At the last,a followup for their results were made.Results 48 cases were followedup,35 of 41 operated cases got a good rate of 85.4%;otherwise 3 of 7 nonoperated cases got a rate of 42.9%.Six patients required multiple surgeries because of delayed unions or nonunion(including three cases of chronic osteomyelitis).The followedup of 48 cases showed that the combination uses of the ipsilateral intramedullary fixation of femur and tibia and CPM of the knee joint after operation could improve the rehabilitation of knee joint.Conclusion Treatment of floating knee injuries remains a challenging problem,as they are usually associated with extensive and severe soft tissue trauma and other serious associated injuries.Though operation stabilization,the aim for early rehabilitation and mobilization of the injured legs can be obtained.So we can reduce complications and attain reasonably good function outcome.The injuries of ligaments should not be ignored.An aggressive rehabilitation program after operation also is very important. ......
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