微创内固定系统和髁支持钢板治疗股骨远端C型骨折的对比研究  

Comparative Study of LISS and the Condylar Support Plates in the Treatment of AO Type C Distal Femoral Fractures in Adults

作　　者：陈俞涛[1] 杨江伟[1] 侯海斌[1] 王春生[2] 王坤正[2] 

机构地区：[1]延安大学附属医院骨一科,716000 [2]西安交通大学第二附属医院骨一科

出　　处：《天津医药》2014年第4期378-380,共3页Tianjin Medical Journal

摘　　要：目的探讨应用微创内固定系统(LISS)与股骨髁支持钢板治疗股骨远端C型骨折的并发症和早期临床效果疗效差异。方法回顾性分析46例行内固定的股骨远端C型骨折患者,其中25例行微创内固定系统内固定(LISS组),21例行股骨髁支持钢板内固定(髁钢板组),从手术相关指标、术后并发症及患侧膝关节功能评分对2种治疗方法进行比较分析。结果与髁钢板组相比,LISS组切口长度短,术中出血量少,骨折愈合所需时间短(P<0.05),2组手术时间、住院时间比较差异无统计学意义。LISS组内固定断裂1例。髁钢板组内固定松动、断裂各1例,术后4周发生感染1例,骨折不愈合1例,因患膝关节活动度降低行膝关节镜下松解术1例。LISS组Evanich评分总分为(90.6±3.3)分,高于髁钢板组的(81.2±1.8)分。结论 LISS是治疗股骨远端C型骨折的理想内固定方式。Objective To summarize complications and early clinical effect of less invasive stabilization system and the femoral condylar support plates in treatment of AO type C distal femoral fractures. Methods We reviewed 46 patients who had internal fixation of AO type C distal femoral fractures. Of all 46 patients, 25 were with less invasive stabilization sys-tem and 21 were with femoral condylar support plates fixation. Comparative analysis was performed using intraoperative in-dex, postoperative complications and the Evanich score at follow-up. Results All 46 patients were followed up with a mean time of 19.6 months after surgery. The difference in incision length, blood loss, fracture healing time was significant between the 2 groups（P〈0.05）but not in the duration of operations and hospital stays（P＆gt;0.05）. The statistical signifi-cance was also found in the total incidence of postoperative complications and the Evanich score at the last follow-up（P〈0.05）. Conclusion Patients with less invasive stabilization system fixation had the characteristics of less trauma, shorter fracture healing time, less postoperative complications and better functional recovery compared with femoral condylar sup-port plates. Less invasive stabilization system had became an ideal internal fixation in treatment of AO type C distal femoral fractures.

关 键 词：骨折固定术 内 股骨骨折 回顾性研究 股骨远端骨折 微创内固定系统 股骨髁支持钢板 

分 类 号：R681.8[医药卫生—骨科学]