儿童“漂浮膝”的临床特点与治疗
林刚;楼跃;唐凯;张志群;孙祥水;王儒法;
摘要(Abstract):
[目的]探讨儿童漂浮膝的临床特点及治疗方法。[方法]2009年1月~2013年1月收治的资料完整,随访超过10个月的儿童漂浮膝患者11例,按照Letts分型方法:A型1例,B型2例,C型3例,D型4例,E型1例。[结果]全部病例随访10个月~4年,平均2.5年。按照Yue评价标准:优5例,良3例,可3例,差0例。末次随访时1例膝外翻,1例肢体不等长。[结论]儿童漂浮膝损伤多为高能量暴力所致多发性损伤,在及时处理危及生命的合并损伤后,应积极手术复位,至少一处骨折(通常为胫骨骨折)尽可能采用内固定治疗,对于累及骺板或关节面的骨折,须解剖复位,避免或减少骺早闭、成角畸形、创伤性关节炎的发生。
关键词(KeyWords): 儿童;漂浮膝;手术治疗
基金项目(Foundation):
作者(Author): 林刚;楼跃;唐凯;张志群;孙祥水;王儒法;
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DOI:
参考文献(References):
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