胫骨近端锁定解剖钢板与LISS钢板固定治疗胫骨近端骨折的疗效比较

Comparison of curative effect between proximal tibial locking anatomical plate and LISS plate fixation for proximal tibial fractures

目的:探讨胫骨近端锁定解剖钢板与微创内固定系统(LISS)钢板固定治疗胫骨近端骨折的疗效。方法:将64例胫骨近端骨折患者随机分为两组,对照组32例,给予胫骨近端锁定解剖钢板治疗;治疗组32例,给予LISS微创钢板内固定治疗。比较两组患者的治疗效果。结果:治疗组的手术治疗时间、骨折愈合时间和术中出血量明显少于对照组,差异有统计学意义(P <0.05);治疗组Lysholm评分高于对照组(P<0.05);两组术后并发症发生率无统计学差异(P> 0.05)。结论:微创内固定系统(LISS)钢板内固定治疗胫骨近端骨折疗效好,膝关节功能改善明显。

Objective： To investigate the effect of proximal tibial locking anatomical plate and minimally invasive internal fixation system（ LISS） plate in the treatment of proximal tibial fractures. Methods： 64 cases of proximal tibial fractures were divided into two groups randomly,32 cases in the control group were treated with locking anatomical plate of proximal tibia,and 32 cases in the treatment group were treated with LISS minimally invasive plate internal fixation. The therapeutic effects of the two groups were compared. Results： The time of operation and fracture healing,the amount of bleeding in the treatment group were significantly less than those in the control group（ P〈0. 05）,and the Lysholm score of the treatment group was higher than that of the control group（ P〈0. 05）,and the incidence of postoperative complications in the two groups was not statistically significant（ P〈0.05）. Conclusion： Minimally invasive internal fixation system（ LISS） plate internal fixation for the treatment of proximal tibial fractures is effective,the function of knee joint has been improved obviously.