摘要
目的:探讨LISS钢板在治疗胫骨平台骨折治疗中的应用价值。方法:选取于我院治疗的胫骨平台骨折手术患者158例,按患者就诊顺序进行编号并随机分为对照组(79例)和治疗组(79例),给予对照组患者普通解剖钢板固定,给予治疗组患者LISS钢板微创内固定,观察两组患者手术时间、术中出血量、骨折愈合时间、并发症发生率、膝关节活动自由度等指标,并进行统计对比分析。结果:两组患者手术时间、术中出血量、骨折愈合时间、住院时间等指标间差异不明显,无统计学意义(P>0.05);治疗组患者并发症发生率5.06%明显低于对照组16.46%,而其膝关节活动自由度(129.71±16.92)、优良率94.94%均明显大于对照组患者相应指标(101.47±14.28)、84.81%,以上组间差异均具有统计学意义(P<0.05)。结论:在胫骨平台骨折治疗中,LISS钢板微创治疗疗效确切、安全、有效,并发症少、预后良好,膝关节功能恢复好,值得推广。
Objective：To investigate the application value of LISS plate in the treatment of tibial plateau fractures.Methods：Selected 158 cases of patients accepting surgery treatment of tibial plateau fracture in our hospital. Patients were numbered according to patient treatment order and randomly divided into control group （79 cases） and treatment group （79 cases）, administered to the control group by normal anatomic plate fixation and to the treatment group by minimally invasive internal fixation with LISS plate. Observed the indicators of two groups, like operative time, blood loss, fracture healing time, complication rate, knee joint freedom of movement and other indicators, and analyzed statistically and comparatively.Results：There were no obvious differences of operative time, blood loss, fracture healing, hospitalization time between two groups, which were not statistically significant （P〉0.05）;The incidence of complications of treatment group was significantly lower than that of the control group（5.06%vs.16.46%）, while its knee DOF （129.71±16.92）°;and excellent rate （94.94%） were significantly higher than those of control group（101.47±14.28）°,（84.81%）, the above differences between two groups were statistically significant （P〈0.05）.Conclusion：In the treatment of tibial plateau fractures, minimally invasive treatment of LISS plate is exact, safe and effective with fewer complications, the prognosis and functional recovery of the knee are good, it is worthy of promotion.
出处
《中国医药导刊》
2014年第1期69-70,共2页
Chinese Journal of Medicinal Guide
