LISS钢板在胫骨近端复杂性骨折中的应用

Application of LISS Plate in the Treatment of Complex Proximal Tibial Fractures

目的总结LISS钢板治疗胫骨近端复杂性骨折的疗效。方法2007年2月～2008年8月采用LISS钢板治疗胫骨近端粉碎性骨折共10例，男7例，女3例，年龄31～68岁，平均42岁。术后对伤口愈合、术后X线片检查及膝关节功能进行观察。结果随访6～16个月，平均9月；骨折临床愈合时间8-16周，ROM80°～130°，平均107°，全部患者无骨折再移位，内固定失败并发症。结论LISS钢板治疗胫骨近端骨折具有软组织创伤小，骨折愈合快，感染率低、功能恢复好等优点，是治疗胫骨近端复杂性骨折的一种有效内固定方法。

Objective To observe the application of LISS plate in the treatment of complex proximal tibial fractures.Methods Ten cases high-energy proximal tibial fractures were treated with less invasive stabilization system （LISS） by minimally invasive techniques from February 2007 to August 2008.There are 7 males and 3 females, with average age of 42 years （range 31-68 years）.Healing of wounds,the X-ray films after operations,and the recovery of knee joint function were observed.Results All patients have been followed up for 6-16 months with an average of 9 months.Th＇e fracture healing time was 8-16 weeks,ROM 80° -130°,Fracture healing was defined as radiological evidence of bridging mature callus combined with pain-free full weight bearing.No displacement, no angulation or failure of internal fixation took place.Conclusion It has many obvious advantages using LISS in the treatment of high-energy proximal tibial fractures： less soft tissue trauma,less damage to the blood vessel of the bone, rapid union,lower infection rate;It is an effective method of internal fixation for treating complex comminuted fractures at proximal tibia and shaft of tibia.