解剖钢板治疗膝关节周围复杂骨折

目的探讨解剖型钢板内固定在治疗膝关节周围复杂骨折中的临床应用及疗效。方法2005年5月～2008年12月对38例膝关节周围复杂骨折患者（胫骨平台粉碎性骨折18例，股骨髁上及髁间骨折12例，胫骨平台骨折合并股骨髁部或髁间骨折6例，胫骨平台及胫骨上段、股骨髁上、髁间、髌骨粉碎性骨折2例；骨折按AO标准分类：c1型骨折10例，c2型19例，C3型9例）进行切开复位、解剖钢板内固定术，术后早期行膝关节功能锻炼。于术后4周、8周、12周随访观察患肢功能恢复情况，于术后4周、8周、12周、6个月、1年摄X线片显示骨痂生成和骨折愈合情况。结果所有患者4周均有不同程度的骨痂生成，骨折对位对线良好，患肢功能恢复满意，患者及家属认同该治疗方法，并对治疗结果表示满意。结论解剖钢板具备角度稳定性，具有骨折复位后贴附良好、固定可靠、无需外固定、可早期活动、关节功能恢复满意等优点，是治疗膝关节周围复杂骨折较为安全、有效的方法。

Treatment of Complicated Factures aroud the Knee Joint with Anatomica1 Plate

Objective To evaluate the timing and effect of surgical treatment of complicated fractures around the knee joint with anatomical plate. Methods May 2005 - December 2008 through 38 cases of patients with complicated fractures around the knee joint （tibial plateau 18 cases of complicated fracture,femoral condyle and 12 cases of supracondylar and intercondylar fractures,tibial plateau fracture with femoral condylar or intercondylar fracture 6 cases of tibial plateau and the upper tibia,femoral condyle,the condyle,the two cases of complicated fracture of patella;fractures according to AO classification eriteria：C1-type fracture of 10 cases,C2-type 19 cases,C3-type Example 9） conducted open reduction, anatomical plate internal fixation, early postoperative functional exercise of knee joint line. d weeks postoperatively, 8 weeks, 12 weeks follow-up observation of the recovery of limb function in postoperative 4 weeks,8 weeks, 12 weeks,6 months, 1 year prostate X-ray films showed bony callus formation and fracture healing. Results 4 weeks in all cases in varying degrees of bone callus formation, fracture line on the bit of good limb function recovery satisfaction,patients and family members agree with the method of treatment,and expressed satisfaction with treatment outcome. Conclusion Anatomical plate with the perspective of stability, with good adhesion after fracture reduction, reliable fixation without external fixation may be an early activity, satisfaction with the restoration of joint function, etc., is the treatment of complicated fractures around the knee joint is more safe and effective method.