CAJ | 학술논문

目的探讨应用锁定钢板(LCP)采取微创术式治疗股骨远端粉碎骨折的方法和疗效.方法2006年6月~2011年6月,对52例股骨远端粉碎骨折病人(A3、C 型),男33例,女19例;年龄19~75岁(平均38.5岁),采用前方的髌旁切口入路,精确复位关节面后,经皮肌肉隧道插入锁定钢板固定,术后有计划的康复锻炼.结果骨折均获得骨性愈合,平均愈合时间18.2周(14~24周),浅表感染2例,发生下肢深静脉血栓形成2例,无内固定物断裂骨折再移位者.按Kotmert股骨远端功能评价法,优28例,良19例,可5例;优良率90.4%.结论 LCP经前方的髌旁切口入路,微创插板固定治疗股骨远端粉碎骨折,提供了稳定的固定,骨及软组织血运干扰小,骨折愈合率高,是治疗股骨远端粉碎骨折的首选治疗手段;骨折良好的间接复位及按照LCP固定原则是手术成功的保证.
목적탐토응용쇄정강판(LCP)채취미창술식치료고골원단분쇄골절적방법화료효.방법2006년6월~2011년6월,대52례고골원단분쇄골절병인(A3、C 형),남33례,녀19례;년령19~75세(평균38.5세),채용전방적빈방절구입로,정학복위관절면후,경피기육수도삽입쇄정강판고정,술후유계화적강복단련.결과골절균획득골성유합,평균유합시간18.2주(14~24주),천표감염2례,발생하지심정맥혈전형성2례,무내고정물단렬골절재이위자.안Kotmert고골원단공능평개법,우28례,량19례,가5례;우량솔90.4%.결론 LCP경전방적빈방절구입로,미창삽판고정치료고골원단분쇄골절,제공료은정적고정,골급연조직혈운간우소,골절유합솔고,시치료고골원단분쇄골절적수선치료수단;골절량호적간접복위급안조LCP고정원칙시수술성공적보증.
[Abstact] Objective To approach the method and curative effectusing of using LCP to treat distal femur thrypsis by the way of minimally invasive. Methods 2006.6~2011.6, 52 patients of distal femur thrypsis (A3, C), 33 males, 19 female; age 19~75 (average 38.5), using whirbone front-lateral approach, after exact reduction of articular facet, plug in locking steel plate percutem and muscl tunnel, after orperation giving planned rehabilitation. Results all fractures get bone union, average healing time was 18weeks (14~24weeks), 2 cases were superficial infection, 2 cases were deep veins of lower limb thrombosis, no one got internal fixation break and fracture displace again. By Kotmert distal femur functional assessment, excellent 28, good19, common 5, the rate of excellent and good is 90.4%. Conclusion using LCP to treat distal femur thrypsis by the way of micro invasive, can get stable fixation and micro destroy blood supply of bone and soft tissue, the rate of fracture union is high, and it is the frist selection for the treatment of distal femur thrypsis, satisfactory bone fracture indirect reduction and with LCP principle are the pledge of operation success.