股骨远端骨折手术治疗临床的研究.docVIP

股骨远端骨折手术治疗临床的研究 　　【摘要】 目的 对锁定加压接骨板内固定治疗股骨远端骨折进行探讨。方法 回顾性分析2006~2008年本院收住的股骨远端骨折患者的临床资料。手术方法:采取股骨下段前外侧入路,整复骨折,遇严重粉碎,骨端有缺损或开放骨折有缺损的病例,行I期股骨髓内植骨,放置加压接骨板锁定加压接骨板固定;髁上长阶段粉碎骨折在放射线证实复位良好后,锁定加压接骨板两端用锁定螺钉固定。结果 所有病例随访9～27个月,平均10个月,骨折均达临床愈合,优8例,良2例,可1例,优良率91%。结论 经锁定加压接骨板内固定治疗股骨远端骨折,与其他内固定方法相比,具有更大的优势,值得临床推广应用。 　　【关键词】 股骨远端骨折;锁定加压接骨板;内同定 　　 　　Clinical Research surgical treatment for distal femoral fractures 　　 　　XIAO Shi-bin. 　　Fushun County, Sichuan Province, Chenguang Hospital,Sichuan Fushun, 643200,China 　　 　　【Abstract】 Objective Pairs of locking compression plate fixation of distal femur fractures. Methods Retrospective analysis from 2006 to 2008 I lived in hospital revenues of distal femoral fractures in patients with clinical data. Surgical Method:femur inferior segment anterior-lateral approach, the whole complex fracture event of a severe crushing, bone-side there are defects or open fractures with defect cases, line I view stocks within the bone marrow, placed locking compression plate LC-DCP Plate fixation; a long period of supracondylar comminuted fracture confirmed the reduction in the radiation well, after locking compression plate with locking screws at both ends. Results All patients were followed up 9 to 27 months, an average of 10 months, covering a clinical fracture healing, excellent in 8 cases, good in 2 cases, 1 case, good rate of 91%. Conclusion The locking compression plate fixation of distal femur fractures, as compared with other fixation methods, with a greater advantage, worthy of clinical application. 　　【Key words】 Distal femoral fractures; Locking compression plate; Internal fixation 　　 　　作者单位:643200四川省富顺县晨光医院 　　 　　股骨远端骨折多为严重创伤所致,合并伤、开放伤、髁间粉碎及髁上长阶段粉碎骨折为临床治疗带来相当多的困难。2006~2008年,四川省富顺县晨光医院共收治股骨远端骨折患者25例,其中11例应用切开复位锁定加压接骨板内固定治疗,效果较好,现报告如下。 　　1 资料与方法 　　1.1 一般资料 11例患者中男8例,女3例,年龄19～53岁。交通事故伤6例,坠落伤4例,其他伤1例。大部分患者有合并伤,除创伤性休克外,尚有骨盆骨折、创伤性湿肺、四肢骨干骨折、颅脑损伤及臂丛神经损伤等。骨折按AO分型:A1 1例,A2 2例,A3 3例,B2 1例,C1 1例,C2 2例,C3 1例。11例患者中4例为开放骨折,2例为陈旧骨折。4例开放骨折行急诊手术治疗,