创伤性漂浮膝79例临床疗效分析

目的：探讨关节腔内注射玻璃酸钠在治疗创伤性漂浮膝中的疗效。方法：对79例浮膝损伤患者的手术治疗资料进行回顾性分析，并跟踪随访1—6年，平均30个月。结果：根据Karlstrom膝关节功能评定标准，膝关节功能优49例，良26例，中3例，差1例，优良率为94．9％。结论：浮膝损伤应积极处理并发症、抢救生命。条件允许应尽早手术治疗，并根据骨折的不同类型选择相应的术式和手术顺序。术后关节腔内注射玻璃酸钠并在可能的情况下尽早开展功能锻炼，可预防关节粘连，最大限度保存膝关节功能。

Clinical Analysis of 79 Cases Floating Knee Traumatic

Objective： To explore the effect of intra--articular injection of sodium hyaluronate in the treatment of traumatic floating knee. Method： 79 cases of floating knee injury surgery patients were retrospectively analyzed and followed up for 1--6 years, an average of 30 months. Result： .According to Karlstrom functional evaluation criteria, excellent in 49 cases, good in 26 cases, common in 3 case and poor in 1 case, the excellent rate was 94.9%. Conclusion： Floating knee injuries should be actively processed complications to save lives. Conditions allow surgical treatment as early as possible and in accordance with different types of fractures, select the appropriate surgical and surgical sequence. After intra--articular injection of sodium hyaluronate and as soon as possible to carry out functional exercise, can prevent joint adhesions, the maximum preservation of knee function.