Early neurovascular repair in femoral fractures combined with knee joint injuries：evaluation of ligament healing and knee joint function
10.3969/j.issn.2095-4344.2015.33.002
- VernacularTitle:早期血管神经修复股骨下段骨折合并膝关节损伤：韧带愈合及膝关节功能评价
- Author:
Lei HE
;
Yongxing AO
;
Haitang MA
- Publication Type:Journal Article
- Keywords:
Femoral Fracture;
Knee Joint;
Blood Vessels;
Femoral Nerve
- From:
Chinese Journal of Tissue Engineering Research
2015;(33):5254-5258
- CountryChina
- Language:Chinese
-
Abstract:
BACKGROUND:Femoral fractures easily cause damages to patient’s blood vessels and nerves. If there is no proper treatment, it is easy to result in physical disabilities in patients. Early neurovascular repair may have a positive impact on the patients. OBJECTIVE: To compare and analyze the clinical effects of early neurovascular repair on femoral fractures combined with knee joint injuries. METHODS: Eighty patients with femoral fractures combined with knee joint injuries were selected and equaly divided into control group (the injury time was > 8 hours but≤ 48 hours) and observation group (the injury time≤ 8 hours) prior to early neurovascular repair. Amputation rate and the time of femur and knee ligament healing in patients with no amputation were analyzed in the two groups, and Lysholm scores were measured to assess the knee function of patients without amputation in the two groups. RESULTS AND CONCLUSION: The amputation rate was 22% in the control group and 5% in the observation group, and there was a significant difference between the two groups (P < 0.05). The time of femoral and ligament healing in the observation group was significantly lower than that in the control group (P < 0.05). Lysholm scores were also better in the observation group than the control group (P < 0.05). These findings indicate that early neurovascular repair is preferred for patients with confirmed femoral fractures combined with knee joint injuries as soon as possible.
