Chinese Journal of Tissue Engineering Research ›› 2015, Vol. 19 ›› Issue (33): 5254-5258.doi: 10.3969/j.issn.2095-4344.2015.33.002

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Early neurovascular repair in femoral fractures combined with knee joint injuries: evaluation of ligament healing and knee joint function

He Lei, Ao Yong-xing, Ma Hai-tang   

  1. Department of Orthopedics, Kuitun Hospital of Yili, Kazak Autonomous Prefecture 833200, Xinjiang Uygur Autonomous Region, China
  • Online:2015-08-13 Published:2015-08-13
  • Contact: Ao Yong-xing, Associate chief physician, Department of Orthopedics, Kuitun Hospital of Yili, Kazak Autonomous Prefecture 833200, Xinjiang Uygur Autonomous Region, China
  • About author:He Lei, Attending physician, Department of Orthopedics, Kuitun Hospital of Yili, Kazak Autonomous Prefecture 833200, Xinjiang Uygur Autonomous Region, China

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 equally 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.

  中国组织工程研究杂志出版内容重点:组织构建;骨细胞;软骨细胞;细胞培养;成纤维细胞;血管内皮细胞;骨质疏松;组织工程

 

 

Key words: Femoral Fracture;, Knee Joint, Blood Vessels, Femoral Nerve

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