CAJ | 학술논문

目的：比较浮膝损伤I型与Ⅱa型手术治疗的临床疗效。方法选取自2004年1月至2012年10月行内固定手术治疗浮膝损伤患者共80例。Fraser I型患者49例、Ⅱa型患者31例。对比两组患者的术中出血量、手术时间、骨折愈合时间以及术后功能恢复情况。结果I型组的手术时间短、术中失血量少、骨折愈合时间短，差异均有统计学意义（P<0.05）。80例患者随访8~26个月，平均15个月，I型和Ⅱa型的Karlstrom和Olerud功能评价优良率分别为82.9%和76.2%，差异有统计学意义（P<0.05）。结论I型术后疗效优于Ⅱa型浮膝损伤，但对Ⅱa型患者早期进行韧带、半月板的重建配合积极康复锻炼仍可获得满意的疗效。
목적：비교부슬손상I형여Ⅱa형수술치료적림상료효。방법선취자2004년1월지2012년10월행내고정수술치료부슬손상환자공80례。Fraser I형환자49례、Ⅱa형환자31례。대비량조환자적술중출혈량、수술시간、골절유합시간이급술후공능회복정황。결과I형조적수술시간단、술중실혈량소、골절유합시간단，차이균유통계학의의（P<0.05）。80례환자수방8~26개월，평균15개월，I형화Ⅱa형적Karlstrom화Olerud공능평개우량솔분별위82.9%화76.2%，차이유통계학의의（P<0.05）。결론I형술후료효우우Ⅱa형부슬손상，단대Ⅱa형환자조기진행인대、반월판적중건배합적겁강복단련잉가획득만의적료효。
ObjectiveTo compare the clinical effi cacy of surgical treatment on fl oating knee Type I and Type IIA.Method We selected a total of 80 fl oating knee patients who were treated by internal fi xation from January 2004 to October 2012,in which 49 Fraser Type I and 31 Type IIA patients were included. Blood loss,operative time,healing time and postoperative functional recovery were compared between the two groups.Result The Type I group has shorter operative time,less intraoperative blood loss and shorter fracture healing time. The differences make sense statistically (P<0.05). The 80 patients were followed up for 8~26 months,an average of 15 months. Satisfactory rates of functional evaluation were respectively 82.9% and 76.2%. The difference makes sense statistically(P<0.05).ConclusionPostoperative effect of Type I fl oating knee is better that Type IIA. Nevertheless,after early reconstruction of ligament and meniscus on Type IIA patients,and combined with rehabilitation exercises,satisfying curative Resultsstill can be achieved.