| 外固定架治疗全膝关节假体置换术后股骨髁上骨折临床报道 |
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投稿时间：2010-01-25
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| 期刊信息：《中国骨伤》2010年，第23卷，第5期，第376-378页 |
| DOI：10.3969/j.issn.1003-0034.2010.05.019 |
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中文摘要:
目的：研究外固定架治疗全膝关节假体置换术后股骨髁上骨折的治疗方法。
方法：2005年6月至2007年6月，对7例全膝关节假体置换术后股骨髁上骨折应用外固定支架，其中男4例，女3例；年龄55～85岁，平均71岁。研究其骨折愈合情况，并采用HSS评分评价膝关节功能恢复及并发症情况，进行疗效追踪观察。
结果：所有患者获得随访，时间6～23个月，平均12.5个月。患者骨折均愈合时间6～12周，平均8.5周。随访期内无感染及松动发生，1例皮肤钉道口延迟愈合。根据膝关节HSS评分标准，膝关节术前评分 (60.6±16.0)分，术后评分(77.6±11.6)分，术前后差异具有统计学意义(t=0.67,P<0.05);其中，优2例，良4,可1例。
结论：应用外固定治疗全膝关节假体置换术后股骨髁上骨折，特别对于身体条件较差、不能耐受手术高龄患者是一种较适合的治疗方法。 |
| 【关键词】关节成形术,置换,膝 股骨骨折 外固定器 |
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| The application of external fixation for the treatment of supracondylar femoral fracture after total knee replacement |
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ABSTRACT
Objective: To explore the external fixation for treatment of supracondylar femoral fractures after total knee replacement.
Methods: From June 2005 to July 2007,7 cases of supracondylar femoral fracture after total knee replacement were treated with external fixation included 4 males and 3 females with an average age of 71 years ranging from 55 to 85 years. The fracture healing were observed and the knee function were evaluated by the HSS scoring.
Results: All patients were followed-up for 6 to 23 months with an average of 12.5 months. The fracture healing time was from 6 to 12 weeks after operation(averaged 8.5 weeks). During the followed-up period,there were no infection and loosening,only one case occurred nail crossing delayed healing of skin. The HSS knee score was (60.6±16.0) before treatment and (77.6±11.6) after treatment according to HSS knee score criteria,the results were excellent in 2 cases,good in 4,and fair in 1.
Conclusion: Application of external fixation for treatment of supracondylar femoral fracture after total knee replacement,especially in poor physical condition,high age patients is a more appropriate treatment. |
| KEY WORDS Arthroplasty,replacement,knee Femoral fractures External fixators |
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| 引用本文，请按以下格式著录参考文献： |
| 中文格式: | 王卫明,陈维华,曹烈虎,马玉海,王志伟,王思成,苏佳灿.外固定架治疗全膝关节假体置换术后股骨髁上骨折临床报道[J].中国骨伤,2010,23(5):376~378 |
| 英文格式: | WANG Wei-ming,CHEN Wei-hua,CAO Lie-hu,MA Yu-hai,WANG Zhi-wei,WANG Si-cheng,SU Jia-can.The application of external fixation for the treatment of supracondylar femoral fracture after total knee replacement[J].zhongguo gu shang / China J Orthop Trauma ,2010,23(5):376~378 |
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