微创经皮LCP或LISS内固定治疗膝关节周围骨折

MIPPO for distal femoral fractures and proximal tibial fractures with LCP or LISS

目的总结微创经皮LCP或LISS内固定治疗膝关节周围骨折的疗效。方法41例采用微创经皮LCP或LISS内固定治疗膝关节周围骨折,对其临床疗效进行分析。结果41例患者经6～30个月随访,平均17.6个月,除骨延迟愈合1例、内固定取出困难2例外,无其他并发症。参照Johner-Wruh方法进行疗效评价,优24例、良13例、中3例、差1例,总优良率为90.24%。结论微创经皮LCP或LISS内固定治疗膝关节周围骨折疗效满意,进一步熟悉局部解剖学特点和掌握手术技巧有助于提高疗效。

Objective To summarize the therapeutic effect of minimally invasive percutaneous plate osteosynthesis （MIPPO） with LCP or LISS for distal femoral fractures and proximal tibial fractures. Methods 41 patients underg one MIPPO with LCP or LISS in distal femoral fractures and proximal tibial fractures were analyzed retrospectively. Results The average follow-up period was 17.6 months （ range ： 6 - 30 months）. 1 was complicated with delayed union, and 2 with instrument removal difficulty. According to Johner-Wruh score standard, 24 cases were excellent, 13 good, 3 fair and 1 poor, and the rate of excellent and good was 90.24%. Conclusions The therapeutic effect of MIPPO with LCP or LISS in distal femoral fractures and proximal tibial fractures is satisfactory, and it will be better through thoroughly study the anatomical characteristics, further master the related surgical techniques of MIPPO.