微创内固定系统治疗膝关节周围骨折临床疗效观察

Clinical Observation of Treatment in Periarticular Fractures of the Knee Joint with Less Invasive Stabilization System

目的:探讨微创内固定系统治疗膝关节周围骨折的临床疗效。方法:将符合标准的71例膝关节周围骨折患者随机分为观察组36例和对照组35例,观察组行微创内固定手术,对照组行传统内固定手术。结果:与对照组比较,观察组的手术用时短,术中出血量少、骨折愈合快且肢体缩短少(P<0.05);预后效果显示,观察组疗效优秀率和总有效率分别为69.44%和97.22%,显著高于对照组(P<0.05);此外观察组中并发症发生率与对照组相当(P>0.05)。结论:微创内固定系统治疗膝关节周围骨折具有疗效满意、并发症少,安全可靠等优点,值得临床推广。

Objective： To explore the clinical efficacy of periarticular fractures of the knee joint with less invasive stabilization system（LISS）. Method： 71 patients were randomly divided into observed group（36 cases） and control group（35 cases）,patients in control group received traditional internal fixation,while others received LISS internal fixation. Result： The mean operation time,vessel bleeding loss,healing of the fracture time and the length of shorten limb in observed group were significantly shorter than those in the control group（P0.05）;the cure rate（69.44%） and total efficiency（97.22%） in observed group were significantly higher than those in control group,respectively（P0.05）;there was difference in the complication rate between the two groups（P0.05）. Conclusion： Compared with traditional internal fixation,the treatment of periarticular fractures of the knee joint with LISS can enhance adsorption,shorten course of treatment,reduce the complication rate and receive satisfactory effect.