36例创伤性浮膝损伤的临床特点及治疗.docVIP

精品论文 参考文献 36例创伤性浮膝损伤的临床特点及治疗 刘杰(山西省运城市永济市人民医院骨二科 044500) 　　【摘要】目的：对创伤性浮膝损伤进行分析，探讨其治疗效果。方法：对我院2005年-2010年收治的36例创伤性浮膝损伤患者进行回顾性分析，均采用交锁髓内钉内固定治疗，治疗后对患者进行为期2年的随访。结果：经过内固定手术之后，1例患者出现创口感染，在进行抗生素治疗之后痊愈，所有患者均未发生下肢深静脉栓塞、医源性神经、血管损伤。在治疗后对所有患者进行随访工作，经过随访调查后，显效32例，占88.89%；有效：4例，占11.11%；无效0，总有效率达100%。结论：对创伤性浮膝损伤患者进行交锁髓内钉内固定手术治疗，能有效改善患者的预后情况，具有明显的优点，值得在临床上推广应用。 　　【关键词】创伤性 浮膝 损伤 临床特点 治疗 　　【中图分类号】R64 【文献标识码】A 【文章编号】1672-5085（2013）51-0070-02 　　The clinical characteristics of 36 cases of traumatic floating knee injury and treatment 　　【Abstract】 Objective: to analyze the traumatic floating knee injury, and to explore its therapeutic effect. Methods: from 2005 to 2010 in our hospital were 36 patients with traumatic floating knee injury were analyzed retrospectively, and adopts interlocking intramedullary nail fixation treatment, after treatment for patients with two-year follow-up. Results: after internal fixation operation, 1 case of wound infection, patients recovered after antibiotic therapy, all patients were not lower extremity deep venous thrombosis, iatrogenic nerve, blood vessel damage. After treatment for all patients with follow-up work, after a follow-up survey, 32 cases were markedly effective, accounted for 88.89%; Effective: 4 cases, 11.11%; Invalid 0, total effective rate was 100%. Conclusion: in patients with traumatic floating knee injury/interlocking intramedullary nail fixation surgery treatment, can effectively improve the prognosis of patients with situation, has obvious advantages, is worth popularization and application in clinic. 　　【Key words】 traumatic floating knee damage clinical characteristics treatment 　　浮膝损伤是股骨远段和胫骨近段骨折导致双侧力臂的完整性缺失而呈漂浮状态的一种高能量损伤，多数为开放性损伤，最早于上世纪七十年代在美国由北卡罗来纳州医院提出。经过多年的观察发现，由于交通意外事故的不断增加，浮膝损伤患者日益增多，根据相关研究显示[1] ，浮膝损伤多为高能性损伤，其病情比较复杂，常有合并损伤，存在治疗困难等问题，因此必须要对患者的基本情况进行及时准确的判断，分析有无血管、神经合并损伤，采取积极的治疗措施，避免医源性副损伤。我院对2005年-2010年收治的36例创伤性浮膝损伤患者进行回顾性分析，所有患者采用交锁髓内钉内固定治疗之后，均取得了良好的效果，现将