关节镜下微创加LISS钢板治疗膝关节损伤50例分析  

Analysis of 50 cases of arthroscopic minimal invasion combined with LISS steel plate in treatment of knee joint injuries

作　　者：石玉刚[1] 沙广钊 朱献忠[1] 沙磊[1] 

机构地区：[1]江苏省邳州市人民医院骨二科,江苏邳州221300

出　　处：《中国医药科学》2015年第22期192-195,共4页China Medicine And Pharmacy

摘　　要：目的探讨关节镜下微创加LISS钢板治疗膝关节损伤的疗效。方法 2010年1月-2014年7月我科收治膝关节损伤患者100例。分观察组和对照组各50例,观察组采用关节镜下微创加LISS钢板治疗;对照组采用开放复位钢板螺丝钉固定骨折,直视下修复交叉韧带和侧副韧带,修复或切除半月板。结果膝关节功能按Lysholm评估,观察组优良率为92.00%,对照组为74.00%,两组膝关节功能优良率比较有统计学意义（x2=5.4767,P〈0.05）。两组并发症比较：观察组发生各种并发症7例,对照组发生各种并发症10例,两组并发症比较无统计学意义（x2=1.7718,P〉0.05）。结论对于膝关节损伤患者,使用关节镜微创加LISS钢板固定,膝关节功能恢复优于开放治疗好,功能恢复满意。Objective To explore curative effect of arthroscopic minimal invasion combined with LISS steel plate in treatment of knee joint injuries. Methods 100 patients with knee joint injuries who were admitted to our department in our hospital from April 2010 to July 2014 were selected and allocated to the observation group and the control group. The observation group was treated with arthroscopic minimal invasion combined with LISS steel plate while the control group was treated with open reduction steel plate screw fixed fracture, repairing cruciate ligament and collateral ligament under direct vision and repairing or resecting meniscus. Results Excellent and good rate of knee joint function in the observation group was 92.00% while that in the control group was 74.00% which was evaluated by Lysholm. Excellent and good rate of knee joint function of two groups had statistical significance（x2=5.4767, P〈0.05）. Various complications occurred in 17 cases of the observation group while various complications occurred in 10 cases of the control group when complications of two groups were compared. Comparison of complications of two groups had no statistical significance（x2=1.7718, P〉0.05）. Conclusion Arthroscopic minimal invasion combined with LISS steel plate fixation in treatment with patients with knee joint injuries has a better and satisfying knee joint function recovery than open treatment

关 键 词：膝关节损伤 关节镜 微创 锁定加压钢板 

分 类 号：R687.3[医药卫生—骨科学]