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目的:探讨解剖型钢板治疗股骨远端骨折的价值。方法:将本组股骨远端解剖型钢板治疗24例进行术后平均17月的随访研究,采用 Neer 膝关节功能评分标准在膝关节功能恢复程度指标,X 线骨愈合速度指标予以评价。结果:全部患者均得到随访,本组优12(50%)、良8例(34%)、可2例(8%),差2例(8%),优良为83%。平均愈合时间6.5月。结论:解剖钢板治疗股骨远端骨折具有膝关节功能恢复程度高、骨愈合速度满意,而且适应症范围大、关节面解剖对位、生物力学固定牢靠、术后允许早期功能锻炼,是治疗股骨折的有效方法之一。
Objective: To investigate the value of anatomic plate in the treatment of distal femoral fractures. Methods: Twenty - four cases of distal femur anatomical plate were followed up for an average of 17 months. Neer knee function score was used to evaluate the degree of functional recovery and X - ray bone healing rate. Results: All the patients were followed up. The results were excellent in 12 (50%), good in 8 (34%), fair in 2 (8%), poor in 2 (8%) and good in 83%. The average healing time of 6.5 months. Conclusion: Anatomical plate treatment of distal femoral fractures with a high degree of functional recovery of the knee, the satisfactory rate of bone healing, and a wide range of indications, anatomical position of the articular surface, biomechanical fixation, early postoperative functional exercise is the treatment of femoral fractures One of the effective ways.