锁定钢板内固定治疗股骨髁上髁间骨折的疗效观察

目的：探讨锁定钢板（LISS）内固定治疗股骨髁上髁间骨折患者的临床效果。方法将94例股骨髁上髁间骨折患者按照数字表法随机分为两组，对照组47例给予动力髁螺钉板（Dynamie hip serew，DHS）内固定治疗；观察组47例给予LISS内固定治疗，比较两组患者的临床疗效情况。结果随访6～12个月，平均（9.5±2.8）个月。两组患者治疗后均没有出现神经损伤、血管损伤（、膝关节内（外）翻崎形、内固定物松动（断裂）等并发症。观察组总有良率为95.74%，显著高于对照组的78.72%（X2=6.1138，P<0.05）。结论锁定钢板（LISS）内固定治疗股骨髁上髁间骨折疗效肯定，术中血运破坏少，创伤小、对骨折“内环境”干扰小，并发症少，骨折愈合较为满意，早期功能训练是膝关节功能恢复的重要保证，LISS是治疗股骨髁上髁间骨折较为理想的方法。

Between the Locking Plate Internal Fixation Treatment on Condyle Femoral Condyle Fracture Curative Effect Observation

Objective To explore the locking plate internal fixation on the treatment of femoral condyle(LISS)between condyle fracture in patients with clinical effect.Methods 94 cases of femoral condyle epicondyle fracture between patients random-ly divided into two groups by the digital meter method,47 cases were given dynamic condyle screw plate(Dynamie Hip Serew,DHS) internal fixation treatment;Observation group of 47 cases of LISS fixation treatment,and compare the clinical curative effect of two groups of patients.Results After the follow-up of 6~12 months,the average(9.5+2.8)months.After treatment in both groups were no Nerve injury(Nerve damage),Vascular injury(Vascular injury)and knee inside(outside)battery shape,loosening of internal fixation (fracture),and other complications.Observation group of total yield of 95.74% were significantly higher than that of control group 78.72%(χ2=6.1138,P<0.05).Conclusion Locking plate internal fixation on the treatment of femoral condyle(LISS)between condyle fracture curative effect,less intraoperative blood supply failure,small trauma,fewer complications,safe,reliable,has reliable mechanical stability,fracture healing is relatively satisfied,early functional training is an important guarantee of the knee joint func-tion recovery,LISS is treatment on condyle femoral condyle fracture is the most ideal method.