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The intramedullary nailing using a single knee incision for treatment of extraarticular floating knee (nine cases)

机译:单膝切口髓内钉治疗关节外漂浮膝(9例)

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Context:Floating knee injuries are uncommon and complex injuries. Management of this injury has been variously described in the literature.Aims:We present the outcome of the intramedullary nailing using a single knee incision for treatment of extraarticular floating knee.Materials and Methods:We report a retrospective series of nine patients with extraarticular floating knee.Results:There were seven men and two women with an average age of 35 years. At least one of the fractures was open in three cases. The average Injury Severity Score was 17. According to Fraser's classification, 100% of the cases are type I. All our patients were treated by the intramedullary nailing using a single knee incision. The mean operating time was 146 min. The mean follow-up is 19 months. According to the Karlstr?m criteria, the end results were excellent in two cases, good in four, acceptable in two, and poor in one. Bone union was achieved in eight cases with an average period of 93 days.Conclusions:The intramedullary nailing using a single knee incision has shown in this series better results.
机译:背景:膝关节浮动伤是罕见且复杂的伤害。在文献中已对此损伤的治疗方法进行了各种描述。目的:我们介绍了使用单膝切口行髓内钉治疗关节外漂浮膝盖的方法。材料与方法:我们回顾性分析了9例关节外漂浮膝盖的患者结果:男7例,女2例,平均年龄35岁。 3例中至少有1处是开放性骨折。平均损伤严重度评分为17。根据Fraser的分类,100%的病例为I型。我们所有的患者均接受了单膝切口髓内钉治疗。平均操作时间为146分钟。平均随访时间为19个月。根据Karlstr?m标准,最终结果在2例中为优异,在4例中为好,在2例中可以接受,在1例中为差。八例均达到了骨愈合,平均93天。结论:单膝切口髓内钉治疗取得了较好的效果。

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