重庆医学2012，Vol.41Issue(23)：2377-2378,2380,3.DOI:10.3969/j.issn.1671-8348.2012.23.012
双锁定接骨板治疗股骨远端复杂性骨折
Dual locking plate for complex distal femoral fracture
李光旭 1杨明贵 1杨逊 1马健 1李德胜 1周秩华1
作者信息
摘要
Abstract
Objective To review and analyze clinical data of dual-locking plate for complex distal femoral fractures,to evaluate the therapeutic effect.Methods From July 2008 to August 2011,their were 23 patients of distal femoral fractures.There were su-pracondylar fracture and intercondylar comminuted fracture.Lateral locking compression plate combined with medial reconstruction locking plate were used for distal femoral fractures.After surgery,knee joint training was enhanced early after operation.Results Operative time was 78-213 min,an average of 115 min.Blood loss was 78-526 mL,an average of 237 mL.2 cases suffered postoperative superficial wound infection,but it did not affect bone healing.All cases were followed up for 12 to 27 months,an average of 18.5 months.Postoperative bone healing time was 4 to 12 months,an average of 6.8 months.Two cases had a sagittal plane angle of 3°-7°,and 1 case had leg shortening of 1 cm,no special treatment was necessary for them.There were not any lower limb external rotation,or plate screw loosening or breakage,nonunion,or knee varus.Merchant ratings for postoperative knee function were performed,it was excellent in 15 cases,good in 6 cases,mild in 2 cases,91.3% of the patients were in excellent or good condition.Conclusion For the complex distal femur fractures,it was good to use lateral locking compression plate combined with the medial reconstruction locking plate for internal fixation,full graft between fracture stumps was helpful for heal of fracture.关键词
股骨远端骨折/内固定/锁定接骨板Key words
distal femoral fractures/internal fixation/iocking plate引用本文复制引用
李光旭,杨明贵,杨逊,马健,李德胜,周秩华..双锁定接骨板治疗股骨远端复杂性骨折[J].重庆医学,2012,41(23):2377-2378,2380,3.
