AO经皮微创内固定系统LISS钢板治疗胫骨近端复杂性骨折

Treatment of the complex proximal tibia fractures with less invasive stabilization system

目的：探讨应用AO经皮微创内固定系统LISS钢板治疗胫骨近端骨折的短期疗效。方法：AO微创内固定系统LISS钢板治疗胫骨近端骨折18例。骨折按AO分型，Cl型5例，c2型11例，C3型2例。均应用胫骨LISS钢板内固定治疗。结果：全部病例均获得随访，时间4-16个月，平均10个月。切口均一期愈合，术后x线片复查示骨折对位对线良好，外观无明显畸形，膝踝关节功能正常。术后患者未出现感染及小腿筋膜间隙综合征。结论：AO经皮微创内固定系统LISS钢板治疗胫骨近端复杂性骨折肢体功能恢复较好，是一种有效的治疗方法。

Objective： To evaluate the effect of less invasive stabilization system （LISS） for the treatment of complx proximal tibia fractures. Methods： Eighteen patients with proximal tibia fractures （type C1,C2 and C3 of AO classification） were treated with LISS for in-fixation. The characteristics and advantages of LISS and the functions of the knee were evaluated. Results： The period of following up was 4 to sixteen months.All fractures were healed without any complications. Conclusion： The tibia LISS worked well at angle stabilization and antipull out in the treatment of the complex proximal tibia fractures with a good protection on the soft tissue and blood supply, especially in patients with osteooorosis.