浮膝损伤中膝关节稳定性的恢复与重建

目的 探讨浮膝损伤中骨和韧带等稳定装置的恢复与重建的方法和疗效. 方法 对2000年1月-2006年1月我院收治的38例浮膝损伤合并急性膝关节不稳患者的治疗方法进行总结,评定术后疗效. 结果 38例患者术后均得到随访,时间1～4年,平均1.5年,骨折均愈合.术后伤口感染3例,内固定松动2例,前交叉韧带松弛1例,骨关节炎2例.按照改良美国特种外科医院(Hospital for Special Surgery,HSS)系统评价膝关节功能:优良32例,中上5例,下中1例,优良率占84%. 结论 浮膝损伤治疗中不仅仅要重视骨结构连续性的重建,更要重视韧带、半月板、关节囊、肌肉等稳定结构的恢复.

Restoration and reconstruction of the knee stability for floating knee injury

Objective To investigate the methods and therapeutic effects in reconstructing and restoring the knee stability of floating knee injury. Methods A total of 38 patients with floating knee injury combined with acute knee instability treated from January 2000 to January 2006 were retrospectively studied to evaluate the efficacy of different procedures. Results All patients were followed up for 1-4 years (mean 1.5 years), which showed fracture healing in all patients. There occurred postoperative wound infection in three, internal fixator loosening in two, anterior cruciate ligament laxity in one and osteearthritis in two. According to Score of Hospital for Special Surgery (HSS) for knee function,the knee function was excellent in 32 patients, good in five and fair in one, with excellence rate of 84%. Conclnsions During the treatment of floating knee injury, attention should not only be paid to the reconstruction of the bone continaity, but also to the restoration of ligaments, meniscus, joint capsule and muscles.