微创内固定系统治疗胫骨近端骨折的疗效分析

Curative Effect of Less Invasive Stable System for Treatment of Proximal Tibia Fracture

目的分析微创内固定系统(LISS)治疗胫骨近端骨折的临床疗效。方法回顾自2003年1月～2005年6月318例胫骨近端严重骨折患者的临床资料和随访资料,从术中出血量、手术时间、第1次下床活动时间、术后并发症,以及膝关节术后功能恢复等5个方面综合评定LISS接骨板临床疗效。结果89例LISS接骨板患者平均出血量、手术时间、第1次下床时间,以及1年后膝关节HSS评分均优于229例胫骨内外侧解剖钢板的患者。结论LISS接骨板是治疗胫骨近端复杂骨折的良好方法。

Objective To analyze the clinical curative effect of less invasive stable system （LISS） for treatment of proximal tibia fracture, and to compare with anatomical nickelclad for proximal tibia fracture. Methods The clinical and follow- up data of 318 patients with proximal tibia fracture between January 2003 and June 2005 were retrospectively analyzed. The less invasive stable system was used in 89 patients and the exterior and interior anatomical nickelclad was used in 229 patients. The operation hemorrhage, operation time, the time extent for the first time out- of- bed activity to the operation day, postoperative complications, and the functional recovery of knee joint were compared. Results The average hemorrhage, operation time, the time extent for the first time out- of- bed activity to the operation day, and the HSS score for one year after the operation in 89 patients who underwent less invasive stable system for proximal lateral tibia were better than those of 229 patients who underwent exterior and interior anatomical nickelclad. Conclusion The less invasive stable system for proximal lateral tibia is one of the good methods for treatment of the complicated fracture of proximal tibia.