髌外侧入路与股骨前外侧入路联合LISS钢板治疗C型股骨远端骨折的疗效及安全性分析  

Efficacy and Safety of Lateral Patellar Approach and Anterolateral Femoral Approach Combined with LISS Plate in the Treatment of Type C Distal Femoral Fractures

作　　者：闫文山 YAN Wen-shan(Department of Orthopedics,Binhai Hospital of Tianjin Medical University General Hospital,Tianjin 300480,China)

机构地区：[1]天津医科大学总医院滨海医院骨科,天津300480

出　　处：《医学信息》2021年第22期78-80,共3页Journal of Medical Information

摘　　要：目的研究外侧入路与股骨前外侧入路联合LISS钢板治疗C型股骨远端骨折的疗效及安全性。方法选取2017年4月-2020年4月在我院治疗的50例C型股骨远端骨折患者为研究对象,采用随机数字表法分为对照组和观察组,各25例。对照组股骨前外侧入路联合LISS钢板治疗,观察组采用髌外侧入路联合LISS钢板治疗,比较两组临床手术指标、骨折愈合优良率、不同时间段(术后3、6个月)膝关节功能评分以及并发症发生率。结果观察组手术时间短于对照组,差异有统计学意义(P<0.05);观察组骨折愈合时间、术中出血量与对照组比较,差异无统计学意义(P>0.05);观察组骨折愈合优良率为88.00%,高于对照组的72.00%,但差异无统计学意义(P>0.05);术后3、6个月观察组膝关节功能评分均高于对照组,差异有统计学意义(P<0.05);随访3个月,观察组并发症发生率为8.00%,低于对照组的20.00%,但差异无统计学意义(P>0.05)。结论与股骨前外侧入路联合LISS钢板比较,髌外侧入路联合LISS钢板治疗C型股骨远端骨折效果确切,可提高骨折恢复优良率和膝关节功能评分,缩短手术时间,但不会影响骨折愈合时间和术中出血量,且可降低并发症发生率,具有良好的应用疗效和安全性。Objective To study the efficacy and safety of lateral approach and anterolateral approach combined with LISS plate in the treatment of type C distal femoral fractures.Methods A total of 50 patients with type C distal femoral fractures treated in our hospital from April 2017 to April 2020 were selected as the research subjects.They were divided into control group and observation group by random number table method,with 25 cases in each group.The control group was treated with anterolateral femoral approach combined with LISS plate,and the observation group was treated with lateral patellar approach combined with LISS plate.The clinical operation indexes,excellent and good rate of fracture healing,knee joint function score at different time points(3 and 6 months after operation)and incidence of complications were compared between the two groups.Results The operation time in the observation group was shorter than that in the control group,and the difference was statistically significant(P<0.05).There was no significant difference in fracture healing time and intraoperative blood loss between the observation group and the control group(P>0.05).The excellent and good rate of fracture healing in the observation group was 88.00%,which was higher than 72.00%in the control group,but the difference was not statistically significant(P>0.05).The knee joint function scores of the observation group at 3 and 6 months after operation were higher than those of the control group,and the difference was statistically significant(P<0.05).After 3 months of follow-up,the incidence of complications in the observation group was 8.00%,which was lower than 20.00%in the control group,but the difference was not statistically significant(P>0.05).Conclusion Compared with the anterolateral approach combined with LISS plate,the lateral patellar approach combined with LISS plate is effective in the treatment of distal femoral fractures of type C,which can improve the excellent and good rate of fracture recovery and knee function score,and shorten

关 键 词：股骨前外侧入路 LISS钢板 C型股骨远端骨折 

分 类 号：R683.42[医药卫生—骨科学]