邹辉, 桂凯红, 冯飞, 薛威, 刘仕良. 手术治疗开放性浮膝损伤26例[J]. 蚌埠医学院学报, 2013, 37(7): 826-828.
    引用本文: 邹辉, 桂凯红, 冯飞, 薛威, 刘仕良. 手术治疗开放性浮膝损伤26例[J]. 蚌埠医学院学报, 2013, 37(7): 826-828.
    ZOU Hui, GUI Kai-hong, FENG Fei, XUE Wei, LIU Shi-liang. The curative effect of operation in the treatment of open floating knee injury in 26 patients[J]. Journal of Bengbu Medical College, 2013, 37(7): 826-828.
    Citation: ZOU Hui, GUI Kai-hong, FENG Fei, XUE Wei, LIU Shi-liang. The curative effect of operation in the treatment of open floating knee injury in 26 patients[J]. Journal of Bengbu Medical College, 2013, 37(7): 826-828.

    手术治疗开放性浮膝损伤26例

    The curative effect of operation in the treatment of open floating knee injury in 26 patients

    • 摘要: 目的:探讨开放性浮膝损伤手术治疗的方法及其疗效。方法:手术治疗开放性浮膝损伤患者26例,按骨折和开放性损伤类型进行评估分类,全部行急诊清创,骨折使用外固定支架、钢板和髓内钉固定,软组织损伤采用Ⅰ期缝合、植皮和组织瓣转位等方法闭合伤口。结果:截肢1例,其余25例全部获得随访,时间6个月至6年。骨折顺利愈合22例,愈合时间3~8个月。骨不愈合2例,经手术植骨后治愈。组织瓣移植全部成活。疗效按Karlstrom和Olerud对同侧股骨和胫骨骨折的分析标准评价:优9例,良11例,可4例,差2例。结论:开放性浮膝损伤治疗中不仅要重视骨结构连续性的重建,更要重视软组织缺损的修复及合并伤的治疗,综合考虑治疗顺序,个体化治疗措施,最大限度恢复肢体功能。

       

      Abstract: Objective: To explore the curative effects of operation in the treatment of open floating knee injury.Methods:Twenty-six patients with open floating knee injury were treated with operation,and were classified according to the fracture type and open injury.All cases were traeted with emergency debridement.The fracture was treated with external fixation,plate and intramedullary fixation.The injury soft tissue was repaired with primary suture,skin grafting and tissue flap transposition.Results:Except 1 case of amputation,25 cases were follwed up for 6 months to 6 years.The fracture healing of 22 cases were good,its healing time ranged from 3 to 8 months.The fracture of 2 cases healed by bone grafting.All tissue flap transposition survived.According to the Karlstrom and Olerud's criteria for ipsilateral femoral and tibial fracture,9 cases were excellent,11 cases were good,4 cases were fair and 2 cases were poor. Conclusions:During the treatment of open floating knee injury,the reconstruction of the bone continuity should be paid attention to,but pay more attention to the soft tissue repair,combined injury treatment,treatment order and measures and regaining the function maximally.

       

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