[1]郑刚 夏凡 杨爽 贾乐生△.外侧主力钢板联合内侧辅助钢板治疗股骨远端C3型骨折20例[J].中国中医骨伤科杂志,2016,24(10):48-50.
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外侧主力钢板联合内侧辅助钢板治疗股骨远端C3型骨折20例
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《中国中医骨伤科杂志》[ISSN:1005-0205/CN:42-1340/R]

卷:
第24卷
期数:
2016年10期
页码:
48-50
栏目:
临床报道
出版日期:
2016-10-01

文章信息/Info

文章编号:
1005-0205(2016)10-0048-03
作者:
郑刚1 夏凡1 杨爽1 贾乐生1△
1.沈阳医学院附属中心医院骨科(沈阳,110024)
△.通信作者 E-mail:happylifejia@foxmail.com
关键词:
股骨 钢板 骨折
分类号:
R683.42
文献标志码:
B
摘要:
目的:探讨采用有限切开外侧主力钢板联合内侧辅助钢板治疗股骨远端C3型骨折的疗效。方法:2012 年12月至2015 年12月收治C3型股骨远端骨折患者20例:男性14例,女性6例; 年龄18~60岁,平均33.5岁。损伤机制:车祸伤16例,高处坠落伤3例,挤压伤1例。开放骨折5例,所有患者患侧肢体无神经、血管损伤。采用有限切开复位外侧主力钢板联合内侧辅助钢板内固定治疗,术后早期功能锻炼,根据术后关节功能评价手术治疗效果。结果:20例患者均获随访,时间12~36个月。19例骨性愈合,1例骨不连,二期植骨手术后骨折愈合。膝关节功能评分参照Merchant标准:优10例,良7例,可2例,差1例,优良率85.0%.结论:采用外侧主力钢板联合内侧辅助钢板治疗股骨远端C3型骨折,可以克服单一外侧钢板所致内侧支撑不足的缺陷,达到骨折坚强固定,给早期功能锻炼提供基础,使患者获得良好的膝关节功能。

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更新日期/Last Update: 2016-10-15