Arazi M, Memik R, Ogün T C, Yel M
Department of Orthopaedic Surgery and Traumatology, Selcuk University, Konya, Turkey.
J Bone Joint Surg Br. 2001 Jul;83(5):663-7. doi: 10.1302/0301-620x.83b5.11520.
Our aim was to determine the clinical effectiveness and safety of Ilizarov external fixation for the acute treatment of severely comminuted extra-articular and intercondylar fractures of the distal femur. A total of 14 consecutive patients with complex fractures was treated. There were three type-A3, two type-C2 and nine type-C3 fractures according to the AO/ASIF system. The mean follow-up was 14 months. Most fractures (13) united primarily at a mean of 16 weeks. One patient with a type-IIIA open fracture had infection and nonunion. The mean range of flexion of the knee at the final follow-up was 105 degrees (35 to 130). We conclude that, in the treatment of comminuted fractures of the distal femur, the Ilizarov fixator is safe and effective in providing stability and allowing early rehabilitation.
我们的目的是确定伊里扎洛夫外固定术治疗股骨远端严重粉碎性关节外骨折和髁间骨折的临床有效性及安全性。共治疗了14例连续性复杂骨折患者。根据AO/ASIF系统，有3例A3型、2例C2型和9例C3型骨折。平均随访时间为14个月。大多数骨折（13例）主要在平均16周时愈合。1例IIIA型开放性骨折患者发生感染和骨不连。末次随访时膝关节的平均屈曲范围为105度（35度至130度）。我们得出结论，在治疗股骨远端粉碎性骨折时，伊里扎洛夫固定器在提供稳定性和允许早期康复方面是安全有效的。
