CAJ | 학술논문

探讨应有股骨远端解剖锁定钢板和绞锁髓内钉治疗小儿麻痹后遗症股骨髁上骨折的方法及疗效。方法自2003年1月至2013年01月共收治小儿麻痹后遗症股骨髁上骨折的患者13例。其中男性12例，女性1例，年龄48-61岁，平均56.3岁，1例行髓内钉固定，12例行锁定钢板固定，术后定期摄片，了解骨折愈合情况。结果13例患者获得随访，随访时间4月至2年，平均10.3月，所有患者骨折都愈合，无感染患者，术前膝关节功能KOOS评分均分76分，术后膝关节功能KOOS评分58.4分。结论手术应有股骨远端解剖锁定钢板或者绞锁髓内钉治疗小儿麻痹后遗症股骨髁上骨折效果满意，骨折愈合率高，并发症少，术后膝关节功能基本能恢复到术前一样，是治疗小儿麻痹后遗症股骨髁上骨折的一种有效满意的方法。
탐토응유고골원단해부쇄정강판화교쇄수내정치료소인마비후유증고골과상골절적방법급료효。방법자2003년1월지2013년01월공수치소인마비후유증고골과상골절적환자13례。기중남성12례，녀성1례，년령48-61세，평균56.3세，1례행수내정고정，12례행쇄정강판고정，술후정기섭편，료해골절유합정황。결과13례환자획득수방，수방시간4월지2년，평균10.3월，소유환자골절도유합，무감염환자，술전슬관절공능KOOS평분균분76분，술후슬관절공능KOOS평분58.4분。결론수술응유고골원단해부쇄정강판혹자교쇄수내정치료소인마비후유증고골과상골절효과만의，골절유합솔고，병발증소，술후슬관절공능기본능회복도술전일양，시치료소인마비후유증고골과상골절적일충유효만의적방법。
Objective to distal femoral anatomical locking plate and interlocking intramedul ary nail in the treatment of infantile paralysis sequelae of femoral supracondylar fractures. The method and the curative effect. Methods from 2003 January to 2013 January were the sequelae of infantile paralysis of supracondylar femur fracture for 13 cases. Male 12 cases, female 1 cases, aged 48-61 years, average 56.3 years old, regular postoperative radiographs, understanding of the fracture healing. Results 13 cases were fol owed-up, fol ow-up time in April to 2 years, with an average of 10.3 months, al patients with fracture healing, no infection patients,Preoperative KOOS score was 76, postoperative knee function scores were 58.4 points KOOS. Conclusion the operation due to distal femoral anatomical locking plate or locked intramedul ary nail in the treatment of infantile paralysis sequelae of supracondylar fractures of the femur with satisfactory effect, high rate of fracture healing, less complications, postoperative knee function can be recovered to the preoperative, is the treatment of infantile paralysis sequelae femoral supracondylar fracture with an effective method.