胫骨近端锁定解剖钢板与LISS钢板固定治疗胫骨近端骨折的疗效比较
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摘要
目的:探讨胫骨近端锁定解剖钢板与微创内固定系统(LISS)钢板固定治疗胫骨近端骨折的疗效。方法:将64例胫骨近端骨折患者随机分为两组,对照组32例,给予胫骨近端锁定解剖钢板治疗;治疗组32例,给予LISS微创钢板内固定治疗。比较两组患者的治疗效果。结果:治疗组的手术治疗时间、骨折愈合时间和术中出血量明显少于对照组,差异有统计学意义(P <0.05);治疗组Lysholm评分高于对照组(P<0.05);两组术后并发症发生率无统计学差异(P> 0.05)。结论:微创内固定系统(LISS)钢板内固定治疗胫骨近端骨折疗效好,膝关节功能改善明显。
Objective: To investigate the effect of proximal tibial locking anatomical plate and minimally invasive internal fixation system( LISS) plate in the treatment of proximal tibial fractures. Methods: 64 cases of proximal tibial fractures were divided into two groups randomly,32 cases in the control group were treated with locking anatomical plate of proximal tibia,and 32 cases in the treatment group were treated with LISS minimally invasive plate internal fixation. The therapeutic effects of the two groups were compared. Results: The time of operation and fracture healing,the amount of bleeding in the treatment group were significantly less than those in the control group( P < 0. 05),and the Lysholm score of the treatment group was higher than that of the control group( P < 0. 05),and the incidence of postoperative complications in the two groups was not statistically significant( P>0.05). Conclusion: Minimally invasive internal fixation system( LISS) plate internal fixation for the treatment of proximal tibial fractures is effective,the function of knee joint has been improved obviously.
Objective: To investigate the effect of proximal tibial locking anatomical plate and minimally invasive internal fixation system( LISS) plate in the treatment of proximal tibial fractures. Methods: 64 cases of proximal tibial fractures were divided into two groups randomly,32 cases in the control group were treated with locking anatomical plate of proximal tibia,and 32 cases in the treatment group were treated with LISS minimally invasive plate internal fixation. The therapeutic effects of the two groups were compared. Results: The time of operation and fracture healing,the amount of bleeding in the treatment group were significantly less than those in the control group( P < 0. 05),and the Lysholm score of the treatment group was higher than that of the control group( P < 0. 05),and the incidence of postoperative complications in the two groups was not statistically significant( P>0.05). Conclusion: Minimally invasive internal fixation system( LISS) plate internal fixation for the treatment of proximal tibial fractures is effective,the function of knee joint has been improved obviously.
引文
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[7]赵书英,耿进朝,程桯,等.低场磁共振对筋伤中前交叉韧带损伤的诊断价值研究[J].中国中医基础医学杂志,2013,28(11):1275-1278.
[8]解东风,李奎,李鑫,等.本体感觉训练在膝关节周围骨折术后所致关节僵硬患者康复治疗中的作用[J].中国康复医学杂志,2013,22(10):945-947.
[9]PHISITKUL P,MCKINLEY T O,NEPOLA J V,et al.Complications of locking plate fixation in complex proximal tibia injuries[J].Journal of Orthopaedic Trauma,2014,32(3):198-199.
[10]EGOL K A,TEJWANI N C,CAPLA E L,et al.Staged management of high-energy proximal tibia fractures(OTAtypes 41):The results of a prospective,standardized protocol[J].Journal of Orthopaedic Trauma,2015,29(6):276-277.
[2]陈宣煌,吴献伟,林海滨,等.胫骨近端骨折内固定数字化设计对临床修复治疗的指导[J].中国组织工程研究,2015,21(9):6366-6372.
[3]陈宣煌,吴献伟,林海滨,等.胫骨近端骨折三维重建复位及数字钢板设计[J].中国组织工程研究,2015,18(6):4235-4241.
[4]陈宣煌,张国栋,林海滨,等.基于3D打印的胫骨近端骨折标准件库钢板数字化内固定[J].中国修复重建外科杂志,2015,12(6):704-711.
[5]鲍俊初,王永华,吴瑞锦,等.立位数字化X线摄影检查对膝关节外伤的诊断价值[J].广东医学,2015,15(4):566-568.
[6]吴相阳,陈麒麟,杨卫保,等.微创技术结合锁定钢板治疗胫骨近端骨折76例分析[J].重庆医学,2015,26(3):429-430.
[7]赵书英,耿进朝,程桯,等.低场磁共振对筋伤中前交叉韧带损伤的诊断价值研究[J].中国中医基础医学杂志,2013,28(11):1275-1278.
[8]解东风,李奎,李鑫,等.本体感觉训练在膝关节周围骨折术后所致关节僵硬患者康复治疗中的作用[J].中国康复医学杂志,2013,22(10):945-947.
[9]PHISITKUL P,MCKINLEY T O,NEPOLA J V,et al.Complications of locking plate fixation in complex proximal tibia injuries[J].Journal of Orthopaedic Trauma,2014,32(3):198-199.
[10]EGOL K A,TEJWANI N C,CAPLA E L,et al.Staged management of high-energy proximal tibia fractures(OTAtypes 41):The results of a prospective,standardized protocol[J].Journal of Orthopaedic Trauma,2015,29(6):276-277.