LISS治疗膝关节周围复杂骨折  

Treatment of complex juxta-articular fractures around the knee with less invasive stabilizing system(LISS)

作　　者：唐正标[1] 张成安[1] 刘子敏[1] 

机构地区：[1]连云港市第一人民医院创伤骨科,江苏连云港222002

出　　处：《生物骨科材料与临床研究》2007年第6期10-12,共3页Orthopaedic Biomechanics Materials and Clinical Study

摘　　要：目的探讨微创固定系统(Less invasive stabilization system,LISS)治疗膝关节周围复杂骨折的手术适应症及其疗效。方法自2004年12月至2006年12月,应用LISS钢板治疗17例18处骨折。男12例,女5例;平均年龄35岁(18～60岁)。股骨远端8处,胫骨近端10处,其中1例为同侧股骨远端,胫骨近端骨折。手术采用间接复位(关节内骨折除外),微创切口,经骨膜外和肌肉之间插入钢板,经皮小切口将带锁定头的螺钉与钢板的螺孔锁定。结果17例患者获6～24个月随访。所有患者均获骨性愈合。HSS评分:优13例,良2例,可1例,差1例,优良率88.2%。结论LISS钢板设计独特,为膝关节周围复杂骨折提供一种新的治疗方法;然而,作为全新理念设计的新型内固定器,临床应用过程中除要要加强对理念的理解外,也要严格掌握操作程序。Objective To explore the indications and clinical results of less invasive stabilizing system （LISS） in the treatment of complex fractures around the knee. Methods From Dec.2004 to Dec. 2006, 17 patients （18 fractures） were treated with LISS .There were 12 males and 5 females, with an average age of 35 years （range 18～60 years）. Including 8 distal femoral fractures and 10 proximal tibial fractures, while I patient sustaining distal femoral fracture and proximal tibial fracture on the ipsilateral side. The LISS plates were inserted beneath the periosteum through a small incision after closed reduction（except the intraarticular fractures）.The locking screws were inserted through stabincisions, and by monocortical fixation. Results 17 patients achieved bone union during the follow up 6 to 24 months. HSS score： excellent in 13 cases, good in 2 cases ,fair in 1 case, por in lcase, the good-excellent rate was 88.2%. Conclusion The unique designed LISS provides an alternative for treatment of complex juxta-articular fractures around the knee, however , as a new designed system ,not only conception but procedure as well should be demanded strictly.

关 键 词：LISS 膝关节 骨折 

分 类 号：R687.3[医药卫生—骨科学]