CAJ | 학술논문

目的探讨在治疗股骨远端骨折时选择不同的手术固定方法所得到的临床疗效.方法随机选择2005年8月至2011年1月入院的82例股骨远端骨折病例,采取不同的手术固定方法治疗,操作中有19例选用拉力螺钉结合多功能外固定支架为甲组,20例选用锁定钢板为乙组,18例选用逆行髓内钉为丙组,25例选用髁支持钢板为丁组,评价4组病例的膝关节功能并观察治疗情况.结果针对A型骨折病例,4组的膝关节功能均恢复良好,治疗情况无差异性(P＞0.05);针对C型骨折病例,乙组膝关节功能较甲组强、治疗情况较甲组理想(P＜0.05),甲组膝关节功能较丙组强、治疗情况较丙组理想(P＜0.05),丁组膝关节功能较丙组强、治疗情况较甲组理想(P＜0.05).结论治疗股骨远端骨折时选择锁定钢板最佳,股骨髁支持钢板次之,基层医院可根据经济情况选择使用锁定钢板或股骨髁支持钢板手术.
목적 탐토재치료고골원단골절시선택불동적수술고정방법소득도적림상료효.방법 수궤선택2005년8월지2011년1월입원적82례고골원단골절병례,채취불동적수술고정방법치료,조작중유19례선용랍력라정결합다공능외고정지가위갑조,20례선용쇄정강판위을조,18례선용역행수내정위병조,25례선용과지지강판위정조,평개4조병례적슬관절공능병관찰치료정황.결과 침대A형골절병례,4조적슬관절공능균회복량호,치료정황무차이성(P＞0.05);침대C형골절병례,을조슬관절공능교갑조강、치료정황교갑조이상(P＜0.05),갑조슬관절공능교병조강、치료정황교병조이상(P＜0.05),정조슬관절공능교병조강、치료정황교갑조이상(P＜0.05).결론 치료고골원단골절시선택쇄정강판최가,고골과지지강판차지,기층의원가근거경제정황선택사용쇄정강판혹고골과지지강판수술.
Objective To investigate the clinical efficacy of different surgical fixation for distal femoral fractures.Methods 82 patients with distal femoral fracture who had been hospitalized during the period of August 2005 to January 2011 were included in this study.Group A ( 19 patients ) received lag screws and multifunctional external fixation,group B ( 20 patients ) locking plates,group C ( 18 patients ) received retrograde intramedullary nails,and group D ( 25 patients ) received condylar buttress plates.The knee function was assessed in the four groups,and the treatment was observed.Results The knee function restored in patients with type-A fracture in the four groups,with no difference ( P＞ 0.05 ).The knee function restored better in the patients with type-C fractures in group B than in those in group A strong ( P＜ 0.05 ),and it was better in group A than in group C ( P＜ 0.05 ),and was better in group D than in group C ( P＜ 0.05 ).Conclusions Locking plate is the best in the treatment of distal femoral fractures,followed by condyle buttress plate.Primary hospitals can choose locking plates or femoral condyle buttress plates based on the economic situation.