【摘要】 目的 总结浮膝损伤的治疗经验。 方法 回顾分析125例浮膝的治疗及愈合情况，得出不同的分型及有无合并伤，选择不同的治疗方法和时机，并由此决定术后功能锻炼的时间和方法，因而对日后膝关节功能的恢复和受伤初期全身情况的变化产生不同的影响。 结果 全部病例随访12～40个月，早期一次手术者优良率为89.5%，分次手术者为50%。髓内钉固定牢固，膝关节功能恢复好，效果最为理想。 结论 浮膝损伤是一种高能量损伤，应在积极治疗全身并发症的同时，争取尽早手术治疗，防止并发症，并根据骨折类型选择合理的固定方案。髓内钉是一种较理想的方法。

    【关键词】 浮膝损伤;诊治;并发症

    Diagnosis and treatment experiences of floating knee injury

    YULian-xiang，ZHANG Xi-shan，LU Yu-lai.

    Department of Orthopaedics，The Affiliated Hospital of Taishan Medical College，Shandong271000，China

    【Abstract】 Objective To summarize the therapeutic experience of floating knee injury.Methods Through their treatment and concrescence，125cases of floating knee injury were analyzed retrospectively，and the different treatment and time were selected according to their different typing and fracture position，and then decide functional exercise af-ter operation according to this plan.Results The patients were followed up from12～40months.The favorable rate of knee joint function was89.5%in early double operation group and50%in second operation group.Conclusion As the“floating knee”is a kind of high energy injury ......