微创稳定系统钢板治疗股骨远端关节内骨折的临床研究  

Clinical observation of treatment of intra-articular fractures by LISS steel

作　　者：卢国平[1] 陈永华[1] 洪晓亮[1] 

机构地区：[1]上海市闸北区中心医院骨二科,200070

出　　处：《检验医学与临床》2014年第10期1304-1305,1309,共3页Laboratory Medicine and Clinic

基　　金：国家自然科学基金资助项目(30872613/C160701)

摘　　要：目的探讨微创稳定系统(LISS)钢板在股骨远端关节内骨折治疗的疗效和安全性。方法将上海市闸北区中心医院2010年8月至2011年8月收治的股骨远端骨折患者48例随机分为观察组(27例)和对照组(21例),其中对照组采用常规解剖钢板固定,观察组采用LISS钢板固定,对比两组患者手术切口长度、出血量、手术时间、骨折愈合时间,采取HSS膝关节评分标准评价手术后膝关节功能的情况。结果术后两组患者膝关节功能比较,差异无统计学意义(P>0.05);采用统计学方法对骨折愈合时间、手术切口长度、术中出血量、手术时间进行比较,观察组均优于对照组,差异有统计学意义(P<0.05)。结论采用LISS钢板治疗股骨远端关节内骨折治疗效果满意,具有手术时间短、术中出血量少、创伤小、术后骨折愈合时间短等优点,为目前骨外科医疗条件下治疗股骨远端关节内骨折的理想选择。Objective To investigate efficacy and safety of the AO Percutaneous stabilization system （LISS） plate in the treatment of intra-articular distal femoral fractures .Methods A total of 48 patients with distal femoral fractures were randomly divided into observation group （27 cases） and control group （21 cases） from Aug .2010 to Aug .2011 .Conventional anatomic plate fixation was used in control group ,and LISS plate fixation was used in obser-vation group .Incision length ,blood loss ,operative time and healing time were compared between the two groups ,and HSS score was used to evaluate the degree of improvement of knee function .Results Excellent rates of knee function were without statistical difference between the two groups （P＆gt;0 .05） ,but incision length ,blood loss ,operative time and fracture healing time in observation group were superior to control group （P＆lt; 0 .05） .Conclusion LISS treat-ment could obtain satisfactory results ,with shorter operative time ,less blood loss ,less fracture healing time ,which might be ideal choice for current treatment of distal femoral fractures .

关 键 词：骨折 微创稳定系统 股骨远端关节 

分 类 号：R683.420.5[医药卫生—骨科学]