CAJ | 학술논문

目的探讨创伤性浮膝的含义和治疗策略.方法 1998年5月-2008年6月共收治创伤性浮膝患者32例,其中股骨干骨折32个肢体,胫骨干骨折32个肢体,开放性骨折7例.对其临床资料进行回顾性分析,总结创伤性浮膝的手术时机和治疗方法.结果 1例小腿减张伤口二期修复,其余术伤口一期愈合,无伤口感染或骨髓炎,术后复片骨折均达到或接近解剖复位,随访病例经1～3年随访,2例股骨和1例胫骨骨折延迟愈合,无骨折不愈合或内植物断裂,参照Karlstrom和Olerud评定优良率82.6%.结论创伤性浮膝骨折是一种重度不稳定、处理困难的损伤,首先重视危及生命的抢救,应在允许情况下尽早手术治疗,手术以固定牢靠、简单有效、创伤小为原则,坚强固定和术后早期锻练是恢复膝关节功能的关键.
목적 탐토창상성부슬적함의화치료책략.방법 1998년5월-2008년6월공수치창상성부슬환자32례,기중고골간골절32개지체,경골간골절32개지체,개방성골절7례.대기림상자료진행회고성분석,총결창상성부슬적수술시궤화치료방법.결과 1례소퇴감장상구이기수복,기여술상구일기유합,무상구감염혹골수염,술후복편골절균체도혹접근해부복위,수방병례경1～3년수방,2례고골화1례경골골절연지유합,무골절불유합혹내식물단렬,삼조Karlstrom화Olerud평정우량솔82.6%.결론 창상성부슬골절시일충중도불은정、처리곤난적손상,수선중시위급생명적창구,응재윤허정황하진조수술치료,수술이고정뢰고、간단유효、창상소위원칙,견강고정화술후조기단련시회복슬관절공능적관건.
Objective To discuss meat and treatment of floating knee injuries. Method The 32 cases of floating knee injuries were treated from April 1998 to June 2008,and 32 limbs of ipsilateral fractures, and 32 limbs of tibiofibular fractures,and 7 cases operated fractures.To study the time of operation and treating methods for floating knee injuries by analyzing clinical data. Results All operation wewe healing фnstage no inspection of the wounds except one case repaired cnstage. All fractures wewe reducted to or near anatymy zone, All fractures followed up for were no non-healing or broken plate, l ipsilateral fractures and 2 tibiofibular fractures were healing slowly form 1 year to 3 years.According to Karlstrom and Olerud were rated 82.6% over good. Conclusion Floating knee injuries is a sort of injury instability and treated difficulty.The help must be noticed first and operated treatment early .The principle of operation is instability and simple and little injuriyeffective.Fixation strongly and activity early is key recovering the function of knee.