不同方法治疗胫骨近端骨折的疗效比较

目的探讨LISS接骨板与传统接骨板治疗胫骨近端骨折的疗效。方法将50例胫骨近端骨折患者随机分为2组,每组25例,分别进行LISS接骨板和传统接骨板治疗。对两种方法的手术时间、切口长短、术中出血量及术后膝关节功能进行评价。结果患者均获得随访,时间8～15(13±3.6)个月。LISS组:切口长度8.25 cm±1.47 cm,手术时间76 min±8 min,术中出血量120 ml±45 ml;传统接骨板组:切口长度19.16 cm±3.8 cm,手术时间103 min±12 min,术中出血量350 ml±55 ml。疗效根据Merchant评分标准评定:LISS组优4例,良19例,可2例,优良率23/25;传统接骨板组优3例,良18例,可3例,差1例,优良率21/25。LISS组在切口长度、手术时间、术中出血量和疗效评定比较均优于传统接骨板组(P<0.01)。结论 LISS具有微创、安全、简便、快速的特点,可作为治疗胫骨近端骨折的优先选择方法。

Comparison of the clinical effect of less invasive stabilization system and traditional plates for proximal tibial fractures

Objective To discuss the clinical effect of less invasive stabilization system(LISS) bone plates and traditional bone plates for proximal tibial fractures.Methods 50 case with proximal tibial fractures were treated by LISS(25 cases) and traditional bone plates(25 cases).The operation time,incision length,amount of operation bleeding and postoperation function of knee were evaluated.Results 50 patients were followed up for 8～15(13±3.6) months.Incision average length ranged 8.25 cm±1.47 cm,operation average time ranged 76 min±8 min and average amount of operation bleeding ranged 120 ml±45 ml in LISS group.Incison average length ranged 19.16 cm±3.8 cm,operation average time ranged 103 min±12 min and average amount of operation bleeding ranged 350 ml±55 ml in traditional bone plates group.Functional function of Merchant showed that LISS group was excellent in 4 cases,good in 19 and fair in 2,and the excellent and good rate was 23/25,traditional bone plates group was excellent in 3 cases,good in 18,fair in 3 and poor in 1,and the excellent and good rate was 21/25.LISS group were better than traditional bone plates group on the incison length,operation time,amout of operation bleeding and knee function(P<0.01).Conclusions LISS bone plates is good choice for treating proximal tibial fractures.The operation is minimal,less injury to the soft tissue,the recovery of knee joint function is better in LISS group than traditional bone plates group.