关键词: 关节内骨折, 手术

Abstract: 【Abstract】〓Objective〓To summarize the clinical treatment and rehabilitation procedure of intra-articular fractures of the lower limbs. Methods〓Fifty-five cases with intra-articular fractures of the lower limb were included. The incision was chosen according to the type of fracture and main site of the fracture fragments and collapse. Bone graft from iliac and allogeneic bone were applied to fill the bone defect site caused by compression fractures. C-arm and intra-operative measurement of lower-extremity-alignment were applied to evaluated the reduction of fracture. Effective internal fixation was according to the type of fracture. Joint exercise schedule was decided according to repair of ligament injury, stepwise loading exercise was applied and according to fracture healing. Results〓Forty-nine cases were followed up for 3 to 18 months, an average of six months. Fractures were healed at 16 weeks, involving the knee fracture. Rasmussen scoring criteria used to evaluate the efficacy of intra-articular fracture of knee showed excellent in 26 cases, good in 2 cases, and the excellent and good efficacy reached 90.3%. Mazur scoring criteria used to evaluate the efficacy of intra-articular fracture of ankle showed excellent in 13 cases, good in 3 cases, the excellent and good rate reached 88.9%. Conclusion〓Bone allograft to fill bone defect site, restoring the articular surface, and reduction of limb alignment were necessary during the operation of the lower extremity intra-articular fractures. Ligament repairing, effective internal fixation and early functional exercise leads to a good therapeutic effect.

Key words: Intra-articular, Fracture, Operation