LISS钢板与解剖钢板治疗股骨髁上骨折的临床疗效以及对膝关节功能的影响分析

Efficacy of LISS plus anatomical plate on supracondylar fracture and knee function

目的:探讨LISS钢板与解剖钢板治疗股骨髁上骨折的临床疗效以及对膝关节功能的影响。方法:2013年1月-2014年6月,我院手术治疗股骨髁上骨折患者80例,随机分为LISS板组和解剖板组。观察两组患者手术时间、术中出血量,术后VAS疼痛评分、骨折愈合时间以及术后膝关节3、6和12个月的HSS评分。结果:LISS板组患者平均手术时间长于解剖板组患者,差异有统计学意义(P<0.05)。LISS板组患者术中出血量、术后VAS疼痛评分、骨折愈合时间均优于解剖板组(P<0.05)。术后3个月和6个月LISS板组的膝关节HSS评分明显高于解剖板组患者(P<0.05)。术后12个月两组患者膝关节HSS差异无统计学意义(P>0.05)。结论:LISS钢板治疗股骨髁上骨折具有出血量少,术后疼痛轻和骨折愈合快的特点,并且有利于早期膝关节的功能康复。

Objective To investigate the clinical effect of LISS plate and anatomical plate on supracondylar fracture and knfunction. Methods： 80 patients were randomly divided into the LISS group and anatomical plate group. The operative time, intraoperatiblood loss, postoperative VAS pain score, fracture healing time and HSS scores of the knee joint in 3, 6 and 12 months were observeResults： The average operative time in the LISS group was longer （P〈0.05）. The intraoperative hemorrhage, postoperative VAS pain scoand fracture healing time in the LISS group were signifcantly better than those in the anatomical group （P〈0.05）. The HSS score of tknee in the LISS group was signifcantly higher than that in the anatomical group in 3 and 6 months （P〈0.05）. There was no signifcadiference of knee HSS between two groups in 12 months （P〉0.05）. Conclusion： LISS plate has the characteristics of less bleeding, lepostoperative pain and faster fracture healing, and is benefcial to functional rehabilitation of knee.