天津医药

• 临床论丛 •    

不同手术入路治疗股骨中下段骨折比较

李晨1,李兴艳2,兰常贡2   

  1. 1. 华中科技大学同济医学院附属同济医院骨科
    2. 广西右江民族医学院附属医院骨科
  • 收稿日期:2012-02-11 修回日期:2012-05-17 出版日期:2012-12-15 发布日期:2012-12-15
  • 通讯作者: 李晨

Analysis of different approaches in treating middle and distal femoral fracture

  • Received:2012-02-11 Revised:2012-05-17 Published:2012-12-15 Online:2012-12-15

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摘要： 目的：比较外侧入路和前外侧入路在治疗股骨中、下1/3骨折不同点，提供最佳入路选择。方法: 统计学分析病人资料，包括手术时间、出血量、术后膝关节活动度等，比较两者差异。结果: 两种手术入路比较，手术时间、出血量、膝关节功能良好率等有显著性差异。前外侧入路较外侧入路更具优势。结论：前外侧入路较外侧入路在治疗股骨中、下1/3骨折手术时间短、出血量少、切口感染率低、术后膝关节功能恢复良好，是一种良好的入路选择。

关键词: 股骨骨折, 手术入路, 康复

Abstract: Objective：Analyse different approaches in treating middle and distal femoral fracture in order to provide best approach. Methods：Use statistical methods to analyse different approaches in operation time, bleeding amount, postoperative range of motion(ROM) in knee in two groups. Results：There is significant difference in operation time, bleeding amount, postoperative ROM in knee in two groups .Anterolateral approach has more advantage. Conclusion：Anterolateral approach in treating middle and distal femoral fracture is better than lateral approach ,which has shorter operation time, less bleeding amount, lower infection rate and larger postoperative ROM in knee .

Key words: femoral fracture, operation approach, rehabilitation