开放性与闭合性浮动膝损伤的对比分析
COMPARATIVE ANALYSIS OF OPEN AND CLOSED FLOATING KNEE INJURIES.
作者信息
Bozgeyik Bahri, Büyükbebeci Orhan, Güner Savaş, Mert Ahmet
机构信息
Kadirli State Hospital, Department of Orthopedic Surgery, Osmaniye, Türkiye.
Gaziantep University Hospital, Department of Orthopedic Surgery, Gaziantep, Türkiye.
出版信息
Acta Ortop Bras. 2023 Jul 31;31(4):e262810. doi: 10.1590/1413-785220233104e262810. eCollection 2023.
OBJECTIVE
To compare the functional outcomes between floating knee injuries with open femur and tibia fractures and closed floating knee injuries.
METHODS
Floating knee injuries (followed up and treated in our clinic) were retrospectively analyzed. Patients were divided into two groups: floating knee injuries with open femur and tibia fractures (Group 1) and floating knee injuries with closed femur and tibia fractures (Group 2). Patients were compared according to their demographic characteristics and clinical and functional outcomes.
RESULTS
Of 52 study patients, 28 had Group 1 injuries and 24, Group 2 injuries. We found a statistically significant difference in length of hospital stay between the two groups (p 0.01) and a statistically significant difference in Karlström-Olerud functional scores between the groups (p 0.02). We found osteomyelitis in five (17%) patients in Group 1 and in one (4%) patient in Group 2.
CONCLUSION
Patients with floating knee injuries and open fractures showed poorer outcomes than those with closed fractures. Those with open floating knee injuries show complications more often and longer hospital stays.
目的
比较股骨和胫骨开放性骨折的浮动膝损伤与闭合性浮动膝损伤的功能预后。
方法
对（在我院随访及治疗的）浮动膝损伤患者进行回顾性分析。患者分为两组：股骨和胫骨开放性骨折的浮动膝损伤（第1组）和股骨和胫骨闭合性骨折的浮动膝损伤（第2组）。根据患者的人口统计学特征以及临床和功能预后进行比较。
结果
52例研究患者中，28例为第1组损伤，24例为第2组损伤。我们发现两组间住院时间存在统计学显著差异（p < 0.01），且两组间卡尔斯特伦 - 奥勒鲁德功能评分存在统计学显著差异（p < 0.02）。我们发现第1组有5例（17%）患者发生骨髓炎，第2组有1例（4%）患者发生骨髓炎。
结论
浮动膝损伤合并开放性骨折的患者比闭合性骨折患者预后更差。开放性浮动膝损伤患者并发症更多见，住院时间更长。
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