股骨下段骨折应用Liss钢板内固定治疗的临床效果分析

Clinical Analysis of Liss Plate Internal Fixation in the Treatment of Distal Femoral Fracture

目的分析Liss钢板内固定治疗股骨下段骨折患者的临床疗效。方法回顾性分析汕头市潮阳区大峰医院骨科接诊的80例股骨下段骨折患者。80例患者按照治疗方法的不同平均分为研究组与对照组。对照组患者采用传统逆行交锁髓内钉固定,研究组给予Liss钢板内固定。比较两组患者膝关节功能和临床疗效,分析对比两组患者术后并发症发生情况。结果研究组患者膝关节功能指标评分明显高于对照组,两组患者膝关节功能恢复情况差异有统计学意义。对照组治疗总有效率为77. 50%,研究组治疗总有效率为95. 00%,研究组明显高于对照组,两组患者临床治疗疗效差异有统计学意义。两组组患者术后出现不同程度的术后感染、骨折畸形、不愈合和内固定物断裂等并发症。对照组总并发症发生率为20. 00%;研究组总并发症发生率为5. 00%,对照组明显高于研究组,两组患者术后并发症发生情况差异有统计学意义。结论相比传统固定方式,给予Liss钢板内固定的股骨下段骨折患者的膝关节功能恢复,临床治疗总有效率提高,术后并发症发生率降低。

Objective To analyze the Liss plate internal fixation for the treatment of distal femoral fractures in patients with clinical efficacy.Methods A retrospective analysis of80cases in Department of Orthopedics in the hospital were retrospectively analyzed.80patients were divided into two groups according to the different methods of treatment,i.e.study group and control group.The control group were treated with conventional retrograde locking nail,and the study group were treated with liss plate fixation.Knee joint function and clinical curative effect of two groups were compared,and post-operative complications of two groups were comparatively analyzed.Results Knee joint function score of study group was significantly higher than the control group.There was statistical significance in knee joint function recovery(P<0.05).The total effective rate of control group was77.50%,and that of the study group was95.00%.The rate of study group was significantly higher than control group.There was statistically significant difference between two groups.Different degrees of postoperative infection,fracture deformity,nonunion and fracture fixation complications,etc.occured in two groups.The total complication rate of control group was20.00%,and that of study group was5.00%.The rate of control group was significantly higher than that of study group.There was statistically significant difference in post-operative complications between two groups.Conclusion Compred with traditional fixed way,recovery of knee joint function recovery of patients with distal femoral fracture by Liss internal fixation is better.The total effective rate of clinical treatment is high,with less incidence rate of postoperative complications.