儿童浮膝损伤的手术方式与时机选择

目的探讨儿童浮膝损伤的手术方法和时机选择。方法分析36例浮膝损伤病例，按Leas分型分为5型。评价不同手术时机、不同术式的功能恢复情况。按Karlstrom标准评价治疗结果。结果随访时间19个月-7a，平均25个月。一期固定优良率为94．12％（16／17例），分期固定优良率为78．95％（15／19例），二期固定优良率为60％（6／10例）。结论切开复位内固定或外固定器治疗儿童浮膝损伤，有利于早期功能恢复、缩短住院时间，且避免严重并发症发生。一期完成骨折固定为最佳手术时机。

Operation Timing and Technique Selection of Floating Knee Injury in Children

Objective To explore the operation timing and technique selection of floating knee injury in children.Methods According to Letts types,36 cases were divided into 5 types.The function outcome in every group was compared by Karlstrorm criterion according operation timing or technique selection respectively.Results Thirty-six cases were followed up for an average of 25 months(19 to 84 months).The rate of excellent and good results accounted for 94.12%(16/17) in one stage operation,78.95%(15/19)in stages,60%(6/10)in 2 stages,respectively.Conclusions It may be recommended to treat children with floating knee injury with open reduction intenal fixation or external fixation.The best operation time shall be urgent treatment of both femur and tibia fracture.