微创内固定系统治疗胫骨平台骨折

目的探讨微创内固定系统(LISS)治疗胫骨平台骨折的疗效。方法将60例胫骨平台骨折患者按照手术方式不同分为LISS组(30例)和解剖钢板组(30例)。观察两组术后疗效、手术时间、术中出血量、骨折愈合时间和术后并发症发生率。结果两组患者均获随访,时间7～33(17.32±5.32)个月。优良率:LISS组为86.67%,解剖钢板组为83.33%,两组差异无统计学意义(P>0.05)。手术时间和术中出血量:LISS组均较解剖钢板组明显缩短或者减少,差异有统计学意义(P<0.01)。术后住院时间、开始负重时间和骨折愈合时间两组差异无统计学意义(P>0.05)。术后并发症发生率LISS组为3.33%,明显低于解剖钢板组的23.33%(P<0.05)。结论 LISS与解剖钢板治疗胫骨平台骨折的疗效相当,但LISS术中组织损伤小,手术时间短,并发症少,更有利于患者的功能恢复。

Efficacy of less invasive stabilization system fixation for treatment of fractures of tibial plateau

Objective To explore the clinical effect of using less invasive stabilization system(LISS) to treat fractures of tibial plateau.Methods 60 cases of tibial plateau fractures were treated by LISS plate and anatomical plate,and each group had 30 cases.The operative time,blood loss,fracture healing time were observed in two groups.Results All patients were followed up for 7～33 months(average 17.32±5.32 months).The excellent and good rate was 86.67% in LISS group,and 83.33% in anatomical plate group,the differences were no statistically significant(P>0.05).The LISS group had shorter operative time and less blood loss than anatomical plate group,and the differences were statistically significant(P<0.01).No differences of the fracture healing time and postoperative weight-bearing time in two groups were found.The rate of postoperative complication(3.33%) in LISS group was significantly lower than 23.33% in anatomical plate group(P<0.05).Conclusions Efficacy of tibial plateau fractures with LISS plate or anatomical plate is equivalent,but the less intraoperative tissue damage,shorter operative time,less complication and more conducive to patient recovery is very obvious in LISS.