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治疗时机对创伤性漂浮膝预后的影响

Hits: 1939 Download times: 1223 Received:December 27, 2005

作者	Author	单位	Unit	E-Mail
侯喜君	HOU Xi-jun	解放军总医院骨科研究所,北京100853	Institute of Orthopaedics and Traumatology,the PLA General Hospital,Beijing 100853,China	houxij@ 163.com
林昂如	LIN Ang-ru	广州南方医院创伤骨科,

期刊信息：《中国骨伤》2006年19卷，第10期，第589-590页

DOI：doi:10.3969/j.issn.1003-0034.yyyy.nn.zzz

目的:探讨不同的手术时机对于创伤性漂浮膝术后功能恢复的影响。

方法:回顾性分析42例接受手术治疗并获得随访的漂浮膝患者术后膝关节功能恢复情况,将患者按接受手术的时间分为72h内(23例)和72h后(19例)手术组,根据Karlstrom标准对两组患者术后膝关节功能恢复情况进行评定,将评定结果使用SPSS10.0软件进行统计学分析。

结果:随访11个月~6年,平均26个月,72h内接受手术者膝关节功能恢复情况优10例,良7例,中5例,差1例;72h后接受手术者优2例,良5例,中4例,差8例,两组结果差异有显著性统计学意义(P<0.01)。

结论:早期手术坚强内固定、早期进行功能锻炼对于漂浮膝损伤远期功能的恢复具有重要的意义。

[关键词]:漂浮膝骨折固定术,内临床方案

Influence of operation time on the prognosis of traumatic floating knee

Abstract:

Objective:To explore the influence of operation time on the prognosis of traumatic floating knee.

Methods:Forty-two patients with traumatic floating knee (male 23 and female 19) whose joint function were retrospectively analyzed after operation,were divided into 2 groups (group A underwent operation within 72 hours and group B after 72 hours).Their joint function was evaluated according to criterion of Karlstrom.

Results:All the patients were followed up from 11 months to 6 years with an average of 26 months.In group A,the number of excellent result was 10,good 7,fair 5,poor 1;and in group B,the number were 2,5,4,8 respectively.There was significant difference between group A and group B(P<0.01).

Conclusion:Early strong internal fixation and functional exercise should be emphasized for the long-term functional recovery in the treatment of traumatic floating knee.

KEYWORDS:Floating knee Fracture fixation,internal Clinical protocols

引用本文，请按以下格式著录参考文献：

中文格式:	侯喜君,林昂如.治疗时机对创伤性漂浮膝预后的影响[J].中国骨伤,2006,19(10):589~590
英文格式:	HOU Xi-jun,LIN Ang-ru.Influence of operation time on the prognosis of traumatic floating knee[J].zhongguo gu shang / China J Orthop Trauma ,2006,19(10):589~590

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