李立, 崔西龙, 王宏亮, 刘朝宇, 郭标, 潘檀, 干阜生. 空心加压螺钉结合支撑钢板治疗Hoffa骨折[J]. 蚌埠医科大学学报, 2015, 40(3): 359-361. DOI: 10.13898/j.cnki.issn.1000-2200.2015.03.021
    引用本文: 李立, 崔西龙, 王宏亮, 刘朝宇, 郭标, 潘檀, 干阜生. 空心加压螺钉结合支撑钢板治疗Hoffa骨折[J]. 蚌埠医科大学学报, 2015, 40(3): 359-361. DOI: 10.13898/j.cnki.issn.1000-2200.2015.03.021
    LI Li, CUI Xi-long, WANG Hong-liang, LIU Chao-yu, GUO Biao, PAN Tan, GAN Fu-sheng. Effect of cannulated screw combined with support plate in the treatment of Hoffa fracture[J]. Journal of Bengbu Medical University, 2015, 40(3): 359-361. DOI: 10.13898/j.cnki.issn.1000-2200.2015.03.021
    Citation: LI Li, CUI Xi-long, WANG Hong-liang, LIU Chao-yu, GUO Biao, PAN Tan, GAN Fu-sheng. Effect of cannulated screw combined with support plate in the treatment of Hoffa fracture[J]. Journal of Bengbu Medical University, 2015, 40(3): 359-361. DOI: 10.13898/j.cnki.issn.1000-2200.2015.03.021

    空心加压螺钉结合支撑钢板治疗Hoffa骨折

    Effect of cannulated screw combined with support plate in the treatment of Hoffa fracture

    • 摘要: 目的:评价空心加压螺钉结合支撑钢板内固定治疗Hoffa骨折的临床效果。方法:对9例Hoffa骨折患者采取切开复位、前后空心加压螺钉结合支撑钢板内固定治疗。按Letenneur 分型Ⅰ型5例,Ⅱ型2例,Ⅲ型2例。 2例合并髁上骨折,3例合并髁上、髁间骨折。并根据Hoffa 骨折术后功能恢复评估标准综合评估膝关节功能。结果:所有患者均获随访,时间3~24个月,术后切口均一期愈合,无早期并发症。术后内固定无松动、断裂,无骨折不愈合及股骨髁缺血性坏死发生。愈合时间8~12周。 Hoffa骨折术后功能恢复评估:优7例,良2例。结论:空心加压螺钉结合支撑钢板治疗Hoffa骨折内固定可靠,可早期进行功能锻炼,治疗效果满意。

       

      Abstract: Objective:To investigate the clinical effects of cannulated screw combined with support plate in the treatment of Hoffa fracture.Methods:Nine patients with Hoffa fractures were treated with open reduction,anterior-to-posterior cannulated screw combined with support plate fixation.Type Ⅰ in 5 cases,type Ⅱ in 2 cases and type Ⅲ in 2 cases were observed in 5 males and 1 female according to Letenneur classification.Supracondylar fracture in 2 cases and supracondylar complicated with intercondylar fracture in 3 cases were found.The postoperative function of knee joint was evaluated according to the Letenneur knee function evaluation system.Results:All patients were followed up for 3 to 24 months.All incisions were primary healing without early complication.The interfixation loosing and rupture,fracture nonunion and avascular necrosis of femoral condyle were not found after operation.The time fracture healing was 8 to 12 weeks.The functional recovery of 7 cases and 2 cases were excellent and good according to Hoffa evaluation system,respectively.Conclusions:The theraputic effects of cannulated screw combined with support plate on Hoffa fracture are reliable and good,the patients can do early functional exercise.

       

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