中国实用医刊
中國實用醫刊
중국실용의간
CENTRAL PLAINS MEDICAL JOURNAL
2015年
11期
37-38
,共2页
Hoffa骨折%骨折固定%疗效
Hoffa骨摺%骨摺固定%療效
Hoffa골절%골절고정%료효
Hoffa fracture%Fracture fixation%Efficacy
目的 探讨空心螺钉结合防滑钢板治疗股骨髁冠状位骨折的疗效及应用价值.方法 随机选取商丘市第四人民医院于2011年10月至2013年12月收治的21例经确诊为股骨髁冠状位骨折的患者.所有患者进行空心螺钉结合防滑钢板治疗,并进行6～12个月随访,进行满意度问卷调查,观察治疗效果.结果 21例股骨髁冠状位骨折患者均手术成功,均进行了有效随访,仅1例患者出现感染,该例感染系患者手术后2周时自己对创口部位抓挠所致,其他患者无螺钉松动、断裂等并发症出现.21份问卷调查中,非常满意16例、满意4例,不满意1例,满意度95.2％.结论 采用空心螺钉并结合防滑钢板治疗股骨髁冠状位骨折以其极高的力学稳定性能有效避免骨折端出现畸形愈合,还能使骨折部位尽早愈合,让患者及早进行康复锻炼.此外,对预防膝关节功能障碍具有显著效果.
目的 探討空心螺釘結閤防滑鋼闆治療股骨髁冠狀位骨摺的療效及應用價值.方法 隨機選取商丘市第四人民醫院于2011年10月至2013年12月收治的21例經確診為股骨髁冠狀位骨摺的患者.所有患者進行空心螺釘結閤防滑鋼闆治療,併進行6～12箇月隨訪,進行滿意度問捲調查,觀察治療效果.結果 21例股骨髁冠狀位骨摺患者均手術成功,均進行瞭有效隨訪,僅1例患者齣現感染,該例感染繫患者手術後2週時自己對創口部位抓撓所緻,其他患者無螺釘鬆動、斷裂等併髮癥齣現.21份問捲調查中,非常滿意16例、滿意4例,不滿意1例,滿意度95.2％.結論 採用空心螺釘併結閤防滑鋼闆治療股骨髁冠狀位骨摺以其極高的力學穩定性能有效避免骨摺耑齣現畸形愈閤,還能使骨摺部位儘早愈閤,讓患者及早進行康複鍛煉.此外,對預防膝關節功能障礙具有顯著效果.
목적 탐토공심라정결합방활강판치료고골과관상위골절적료효급응용개치.방법 수궤선취상구시제사인민의원우2011년10월지2013년12월수치적21례경학진위고골과관상위골절적환자.소유환자진행공심라정결합방활강판치료,병진행6～12개월수방,진행만의도문권조사,관찰치료효과.결과 21례고골과관상위골절환자균수술성공,균진행료유효수방,부1례환자출현감염,해례감염계환자수술후2주시자기대창구부위조뇨소치,기타환자무라정송동、단렬등병발증출현.21빈문권조사중,비상만의16례、만의4례,불만의1례,만의도95.2％.결론 채용공심라정병결합방활강판치료고골과관상위골절이기겁고적역학은정성능유효피면골절단출현기형유합,환능사골절부위진조유합,양환자급조진행강복단련.차외,대예방슬관절공능장애구유현저효과.
Objective To investigate the effect of hollow screw combined with therapy anti-skid steel plate on coronal femoral condyle fracture.Methods Twenty-one patients with coronal femoral condyle fracture in the Fourth People's Hospital of Shangqiu from October 2011 to December 2013 were selected.All of the patients received hollow screw and anti-skid steel plate treatment,and were followed up for 6-12 months.The satisfaction surveys were conducted and the effects were observed.Results Twenty-one cases of femoral condyle coronal fracture successfully received surgery,and all patients were effectively followed-up,except for only one patient with infection caused by scratching the wound 2 weeks after surgery,other patients with no loose screw,fracture or other complications.In the 21 questionnaires,sixteen cases were very satisfied,four cases were satisfied,1 case was unsatisfied,the satisfaction rate was 95.2％.Conclusions Hollow screw combined with anti-skid ateel plate in treatment of femoral condyle coronal fracture can effectively avoid fracture malunion with its high mechanical stability,but also can make the fracture site heal as soon as possible,so that patients can do the early rehabilitation exercises.In addition,it has significant effect on prevention of knee joint dysfunction.
