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手术治疗创伤性浮膝32例临床分析
引用本文:谭斌,黎军,熊小江.手术治疗创伤性浮膝32例临床分析[J].中国循证医学杂志,2008,8(3):217-218.
作者姓名:谭斌  黎军  熊小江
作者单位:1. 重庆开县人民医院骨科,重庆,405400
2. 重庆市三峡中心医院,重庆,404000
摘    要:目的 回顾性研究创伤性浮膝的处理方法。方法 对32例浮膝损伤经手术治疗者的临床资料进行回顾性分析。随访时间6-22月,平均11个月。结果 所有随访患者均获得骨性愈合。1例胫骨钢板外露,2例感染,2例锁钉断裂。按Karlstrom等制订的浮膝损伤肢体功能评价标准,优21例,良6例,可4例,差1例,优良率84.3%。结论 创伤性浮膝经坚强有效的手术治疗,可最大限度地恢复下肢的力线和稳定性,保证膝关节尽早功能锻炼,恢复关节功能和减少并发症。

关 键 词:  胫骨  股骨  骨折  内固定
收稿时间:2008-01-03
修稿时间:2008-03-03

Clinical Analysis of Operation for 32 Patients with Traumatic Floating Knee
TAN Bin,LI Jun,XIONG Xiao-jiang.Clinical Analysis of Operation for 32 Patients with Traumatic Floating Knee[J].Chinese Journal of Evidence-based Medicine,2008,8(3):217-218.
Authors:TAN Bin  LI Jun  XIONG Xiao-jiang
Institution:TAN Bin, LI Jun, XIONG Xiao-jiang(1.Department of Orthopedics of Kaixian People's Hospital of Chongqing, Chongqing 405400, China; 2.Center Hosptial of Three Gorge of Chongqing City, Chongqing 404000, China )
Abstract:Objective To explore the interventions for traumatic floating knee.Method We retrospectively analyzed the data of 32 patients with traumatic floating knee.The following-up time is 6 to 22 months with average time of 11 months.Result All the followed-up patients got bone union.One patient was with plate revealed,2 patientss were infectious,2 patients were with lock pin broken.According to Floating Knee Damage Limb Function Evaluation Scale produced by Karlstrom,21 patients were excellent,6 were good,4 were fair and one was poor,and the excellent and good rate was 84.3%.Conclusion Operation for traumatic floating can recover the alignment and stability of lower limber,recover knee function and reduce complication.
Keywords:Knee  Tibia  Femoral bone  Bone fracture  Internal fixation
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