【摘要】 目的 探讨手术治疗浮膝损伤的临床应用和意义。 方法 对38例“浮膝”骨折病例均使用手术治疗，根据不同骨折部位采用不同内固定器械，其中34例胫骨、38例股骨骨折切开复位内固定，4例胫骨骨折采用外固定架固定。 结果 34例随访6个月～36个月，平均21个月，根据Karlstion和Oleruds功能评定标准:优16例，良18例，中3例，差1例。 结论 早期手术固定有利于严重多发伤的治疗和骨与关节功能恢复，开放性骨折一期内固定的前提是有效彻底清创;早期应用手术内固定可减少切口感染、脂肪栓塞等并发症，膝关节功能恢复良好。

    关键词 膝损伤 骨折固定术

    Clinical application of operating treatment on floating knee fracture

    Rao Xin，You Jianming，Chen Jin.

    Department of Orthopaedics，Zhanjiang center hospital affiliate to Guangdong College，Zhanjiang524037.

    【Abstract】 Objective To investigate the Clinical application and significance of operating treatment on float-ing knee fracture.Methods All38cases of floating knee fracture were treated with operation.Different parts of the fracture were treated with different internal fixation and external skeletal fixation.34tibias，38femurs fractures were treated with open reduction and internal fixation.4tibial fractures were given external brace fixation.Results 34cases were followed up from6month to36month with an average of21month.According to Karlstion and Oleruds standard ......