手术治疗浮膝损伤52例

目的 探讨手术治疗浮膝损伤的意义。方法 根据不同骨折部位采用不同内固定器械及外固定治疗浮膝损伤５２例，其中３４例胫骨，３８例股骨切开复位内固定，１８例胫骨，１４例股骨用外固定支架固定。

Operation on 52 cases of the floating knee

Objective To investigate the significance of surgery of the floating knee. Methods Different parts of the fracture were treated in 52 cases with different internal fixation and external skeletal fixation. 72 fractures were treated with open reduction and internal fixation(34 tibias, 38 femurs). 18 tibial fractures and 14 femoral fractures were given external brace fixation. Results 45 cases were followed up for 6 months to 4 years with an average of 15 years. The results in 30 cases were excellent, 5 cases showed good results, 4 cases fair and 6 cases poor results. The rate of excellent and good results accounted for 833%. Conclusion Early fixation has advantage to the treatment of severe multiple bone and joint injuries and restoration of the function. For open fractures stage I internal fixation should be performed after complete and timely debridement.In the treatment of the floating knee,immediate use of external fixation can reduce the complication of hemorrhagic shock and fat embolism. It has the advantages of simpler manipulation, rigid fixation, less blood loss and lower infection rate.