采用单膝切口髓内钉固定治疗关节外浮动膝（9例）。
The intramedullary nailing using a single knee incision for treatment of extraarticular floating knee (nine cases).
作者信息
Dahmani Omar, Elrhazi Amine, Elidrissi Mohamed, Shimi Mohamed, Elibrahimi Abdelhalim, Elmrini Abdelmajid
机构信息
Department of Orthopaedics (B4), University Hospital Hassan II, Fez, Morocco.
出版信息
J Emerg Trauma Shock. 2014 Oct;7(4):322-6. doi: 10.4103/0974-2700.142774.
CONTEXT
Floating knee injuries are uncommon and complex injuries. Management of this injury has been variously described in the literature.
AIMS
We present the outcome of the intramedullary nailing using a single knee incision for treatment of extraarticular floating knee.
MATERIALS AND METHODS
We report a retrospective series of nine patients with extraarticular floating knee.
RESULTS
There were seven men and two women with an average age of 35 years. At least one of the fractures was open in three cases. The average Injury Severity Score was 17. According to Fraser's classification, 100% of the cases are type I. All our patients were treated by the intramedullary nailing using a single knee incision. The mean operating time was 146 min. The mean follow-up is 19 months. According to the Karlström criteria, the end results were excellent in two cases, good in four, acceptable in two, and poor in one. Bone union was achieved in eight cases with an average period of 93 days.
CONCLUSIONS
The intramedullary nailing using a single knee incision has shown in this series better results.
背景
浮膝损伤并不常见且较为复杂。该损伤的治疗方法在文献中有多种描述。
目的
我们展示了采用单膝切口髓内钉固定治疗关节外浮膝的疗效。
材料与方法
我们报告了一组9例关节外浮膝患者的回顾性研究。
结果
7例男性，2例女性，平均年龄35岁。3例患者至少有一处骨折为开放性骨折。平均损伤严重度评分为17分。根据弗雷泽分类法，所有病例均为I型。所有患者均采用单膝切口髓内钉固定治疗。平均手术时间为146分钟。平均随访时间为19个月。根据卡尔斯特伦标准，最终结果为优2例，良4例，可接受2例，差1例。8例实现骨愈合，平均愈合时间为93天。
结论
本系列研究表明，采用单膝切口髓内钉固定效果更佳。
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