中国组织工程研究Issue(35)：5669-5673,5.DOI:10.3969/j.issn.2095-4344.2015.35.018
LISS锁定钢板和普通解剖钢板修复胫骨近端关节内骨折：最佳植入物选择
LISS locking plate and common plate in the repair of intra-articular proximal tibial fractures:choice of optimal implant
杜玉喜 1刘年喜 1牛智慧 1刘卓2
作者信息
- 1. 晋城市泽州县人民医院骨科，山西省晋城市 048000
- 2. 山西医科大学附属第二医院，山西省太原市 030001
- 折叠
摘要
Abstract
BACKGROUND:The proximal tibial fractures within joint are a common type of fracture, and clinical treatment is difficult. The implant internal fixation is a commonly used method of treatment. However, the choice of the optimal implant internal fixation is always the key problem in clinical research. OBJECTIVE:To explore the curative effect of different implant internal fixation for the treatment of intra-articular proximal tibial fractures and to obtain the better treatment through the comparative analysis. METHODS:A total of 32 patients of intra-articular proximal tibial fracture, who were treated with different implant internal fixation for the treatment of proximal tibia, were selected from the Department of Orthopedics, People’s Hospital of Zezhou County of Jincheng City and Second Affiliated Hospital of Shanxi Medical University from September 2010 to September 2013. These patients were divided into two groups according to fixation methods (n=16). Observation and control groups received LISS locking plate and common plate, respectively. The amount of bleeding, operation time and incision length were observed in both groups. Patients were fol owed up for 1 to 12 months after treatment so as to record fracture healing time, ful weight bearing time and excel ent and good rate and to observe the incidence of complications, including joint stiffness, loosening, nonunion and infection. RESULTS AND CONCLUSION:Incision length and operation time in the observation group were significantly shorter than that in the control group, and the amount of bleeding was significantly lower in the observation group than that of control group (al P<0.05). The healing of fracture and the ful weight bearing time were significantly shorter in the observation group than that in the control group (both P<0.05). The incidence of complications was significantly lower in the observation group (13%) than in the control group (46%;P<0.05). The total excel ent and good rate of repair was significantly higher in the observation group than in the control group (94%, 69%, P<0.05). These results confirm that compared with the traditional plate fixation, internal fixation with LISS locking plate for treating intra-articular proximal tibial fractures can get better therapeutic effects, greatly reduces the injuries to soft tissue and fracture blood supply, promotes fracture healing and restores joint stability.关键词
植入物/骨植入物/胫骨近端关节内骨折/胫骨平台骨折/内固定/LISS锁定钢板/骨折愈合/并发症分类
医药卫生引用本文复制引用
杜玉喜,刘年喜,牛智慧,刘卓..LISS锁定钢板和普通解剖钢板修复胫骨近端关节内骨折：最佳植入物选择[J].中国组织工程研究,2015,(35):5669-5673,5.
