LISS钢板与解剖钢板治疗胫骨近端复杂性骨折的对比研究

Comparative study on LISS plate and anatomical plate for treatment of complex fractures of proximal tibia

目的探析胫骨近端复杂性骨折应用解剖钢板及LISS钢板治疗的临床效果。方法入选我院胫骨近端复杂性骨折患者66例,按治疗方法的不同分为治疗组、对照组,各33例,治疗组实施LISS钢板疗法,对照组实施常规解剖钢板内固定疗法,比较两组的手术参数、临床效果及并发症情况。结果治疗组的手术参数显著优于对照组(P<0.05);两组患者临床疗效比较,差异有统计学意义;治疗组的并发症发生率低于对照组(P<0.05)。结论与解剖钢板相比,LISS钢板内固定治疗胫骨近端复杂性骨折具有创伤小、骨折愈合快、负重早及并发症少的优点,但两者的疗效相当。

Objective To discuss the clinical effects of LISS plate and anatomical plate for treatment of complex fractures of proximal tibia. Methods 66 patients with complex fractures of proximal tibia were chosen and divided into two groups both with 33 cases according to different treatment methods. Treatment group was given LISS plate therapy, while control group was given routine anatomical palte internal fixation therapy. Operation parameters, clinical effects and complications of the two groups were compared. Results Operation parameters of treatment group were obviously better than control group（P 〈 0.05）; significant differences existed between the two groups on clinical effects; occurrence rate of complications of treatment group was obviously lower than control group（P 〈 0.05）. Conclusion Compared with anatomical palte, LISS plate internal fixation for treatment of complex fractures of proximal tibia has advantages of smaller trauma, faster healing of fracture, earlier time of bearing load and fewer complications, but clinical effects of the two kinds of therapy are equal.