| 股骨髁冠状面骨折的诊断与治疗 |
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Received:April 22, 2008
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| 作者 | Author | 单位 | Unit | E-Mail |
| 潘国标 |
PAN Guo-biao |
杭州市第四医院骨科，浙江 杭州 310002 |
Department of Orthopaedics,the Forth Hospital of Hangzhou,Hangzhou 310002, Zhejiang,China |
pgb88@163.com |
| 王卫 |
WANG Wei |
杭州市第四医院骨科，浙江 杭州 310002 |
Department of Orthopaedics,the Forth Hospital of Hangzhou,Hangzhou 310002, Zhejiang,China |
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| 雷文涛 |
LEI Wen-tao |
杭州市第四医院骨科，浙江 杭州 310002 |
Department of Orthopaedics,the Forth Hospital of Hangzhou,Hangzhou 310002, Zhejiang,China |
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| 平立原 |
PING Li-yuan |
杭州市第四医院骨科，浙江 杭州 310002 |
Department of Orthopaedics,the Forth Hospital of Hangzhou,Hangzhou 310002, Zhejiang,China |
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| 干军 |
GAN Jun |
杭州市第四医院骨科，浙江 杭州 310002 |
Department of Orthopaedics,the Forth Hospital of Hangzhou,Hangzhou 310002, Zhejiang,China |
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| 杨宝根 |
YANG Bao-gen |
杭州市第四医院骨科，浙江 杭州 310002 |
Department of Orthopaedics,the Forth Hospital of Hangzhou,Hangzhou 310002, Zhejiang,China |
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| 期刊信息：《中国骨伤》2008年21卷，第10期，第785-786页 |
| DOI：doi:10.3969/j.issn.1003-0034.yyyy.nn.zzz |
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目的：探讨股骨髁冠状面骨折的诊断与治疗方法。
方法：自2000年3月至2007年10月，对6例股骨髁冠状面骨折采用切开复位空心拉力螺钉固定，术后辅助石膏托外固定，1周后CPM功能锻炼。另1例无移位的股骨外侧髁骨折采用伸膝位石膏固定6周，定期复查X线片。
结果：随访6个月～2年，所有患者骨折愈合良好，无骨不愈合及骨坏死发生。膝关节功能按Kumar 等拟定的膝关节功能评分系统进行综合评分，优5例，良1例，可1例。
结论：空心拉力螺钉加压内固定及伸直位石膏外固定治疗股骨髁冠状面骨折效果良好，值得临床借鉴。 |
| [关键词]:股骨骨折 诊断 骨折固定术,内 石膏 |
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| Diagnosis and treatment of the coronal fracture of the femoral condyle |
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Abstract:
Objective: To investigate the diagnosis and treatment of the coronal fracture of the femoral condyle.
Methods: Seven patients with Hoffa fracture treated in our hospital in recent 7 years were enrolled in this study. Six patients were treated with surgical treatment,while one non-displaced fracture received conservative treatment. Fractures were reduced under direct vision and fixed with hollow lag screws. The knees were immobilized in extension with cast after operation,and flexion exercise was commenced 3 weeks later.
Results: All the patients were followed up. According to Kumar functional assessment system,5 patients got excellent results,1 good,and 1 fair.
Conclusion: Rigid internal fixation with hollow lag screw and extension plaster fixation is the excellent way to treat the coronal fracture of the femoral condyle. |
| KEYWORDS:Femoral fractures Diagnosis Fracture fixation,internal Gypsum |
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| 引用本文，请按以下格式著录参考文献： |
| 中文格式: | 潘国标,王卫,雷文涛,平立原,干军,杨宝根.股骨髁冠状面骨折的诊断与治疗[J].中国骨伤,2008,21(10):785~786 |
| 英文格式: | PAN Guo-biao,WANG Wei,LEI Wen-tao,PING Li-yuan,GAN Jun,YANG Bao-gen.Diagnosis and treatment of the coronal fracture of the femoral condyle[J].zhongguo gu shang / China J Orthop Trauma ,2008,21(10):785~786 |
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