[1]刘军,李计东,刘丽君,等.双反牵引复位经皮微创锁定接骨板内固定治疗股骨远端骨折的临床疗效[J].中华老年骨科与康复电子杂志,2017,(01):27-31.[doi:10.3877/cma.j.issn.2096-0263.2017.01.006]
　Liu Jun,Li Jidong,Liu Lijun,et al.The efficacy of double reverse traction combined with percutaneous minimally invasive locking plate internal fixation in treatement of distal femoral fractures[J].Chin J Geriatr Orthop Rehabil(Electronic Edition),2017,(01):27-31.[doi:10.3877/cma.j.issn.2096-0263.2017.01.006]
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双反牵引复位经皮微创锁定接骨板内固定治疗股骨远端骨折的临床疗效()
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中华老年骨科与康复电子杂志[ISSN:1674-3911/CN:11-9292/R]

卷:
期数:
2017年01期
页码:
27-31
栏目:
股骨骨折
出版日期:
2017-02-05

文章信息/Info

Title:
The efficacy of double reverse traction combined with percutaneous minimally invasive locking plate internal fixation in treatement of distal femoral fractures
作者:
刘军; 李计东; 刘丽君; 曲磊; 李博; 刘丽霞
050300 石家庄，井陉县医院骨科
Author(s):
Liu Jun;  Li Jidong;  Liu Lijun;  Qu Lei;  Li Bo;  Liu Lixia
Jing Xing Hospital, 050300 Shi Jiazhuang, China
关键词:
股骨骨折;  微创手术;  双反牵引
Keywords:
Femoral fractures;  Minimally invasive surgical procedures;  Bidirectional rapid reductor
DOI:
10.3877/cma.j.issn.2096-0263.2017.01.006
文献标志码:
A
摘要:
目的 探讨双反牵引技术辅助闭合复位经皮微创锁定接骨板内固定治疗股骨远端骨折的临床疗效。方法 回顾性分析 2014年 7月到 2015年 11月井陉县医院收治的符合纳入标准的股骨远端骨折患者 30例，按照复位方法不同分为双反牵引组与牵引床组。比较两组患者的手术时间、术中骨折平均复位时间、术中出血量、VAS及 HSS评分。结果 所有患者均获得满意随访，随访时间为 2～13个月，平均（12.2±1.1）个月。双反牵引组患者的手术时间、出血量及术中骨折复位时间为（95±11）min、（150±80）ml、（18±3）min，显著少于牵引床组（[ 110±10）min、（200±94）ml、（25±4）min]，差异均有统计学意义（t=-1.773，t=1.624，t=1.362，P＜0.05）。术前两组患者的 VAS及 HSS评分无统计学差异，术后 12个月双反牵引组（[ 2.7±1.5）分]的 VAS 评分较牵引床组（[ 3.7±1.7）分]低，差异有统计学意义（t=1.513， P＜0.05）；双反牵引组（[ 18.7±1.5）分]的 HSS 评分较牵引床组（[ 81.6±1.7）分]高，差异有统计学意义（t=4.473，P＜0.05）。结论 双反牵引复位经皮微创锁定接骨板内固定股骨远端骨折可缩短手术及复位时间，减少术中出血及术后疼痛，显著改善膝关节功能。
Abstract:
Objective To explore the efficacy of double reverse traction combined with percutaneous minimally invasive locking plate internal fixation in treating distal femoral fractures. Methods Thirty distal femoral fractures patients treated in JingXing Hospital from July 2014 to November 2015 were included retrospectively, patients were divided into double reverse traction group and traction bed group. The operative time, average reset time, blood loss, VAS and HSS score were compared between two groups. Results All patients were followed up for 2-13 month (12.2±1.1 months on the average). The operative time, intraoperative blood loss and fractures time (95 ± 11 min, 150 ± 80 ml, 18 ± 3 min) in double reverse traction group were significantly less than the traction bed group (110±10 min, 200±94 ml, 25±4 min) with statistical significance (t=- 1.773, t=1.624, t=1.362, P<0.05). There were no significant differences of preoperative VAS and HSS score between two groups (P>0.05). Howerver, 12 months after the surgery, the VAS score of double reverse traction group (2.7±1.5) was significantly lower than that of traction bed group (3.7±1.7), with statistical significance (t=1.513, P<0.05); the HSS of double reverse traction group (18.7±1.5) was significantly lower than that of traction bed group (81.6±1.7), with statistical significance (t=4.437, P<0.05). Conclusion Double reverse traction combined with percutaneous minimally invasive locking plate internal fixation can reduce surgery time, reset time, intraoperative blood loss and postoperative pain, thus achieve excellent functional outcome of knee joint in the treatment of distal femoral fractures.

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更新日期/Last Update: 2017-04-01