liss钢板微创治疗股骨远端骨折的临床疗效研究

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1、·提要目的:探讨微创系统(Lessinvasivestabilizationsystem，LISS)手术治疗股骨远端骨折的疗效。方法:自2009年9月至2011年9月，我院对21例股骨远端骨折患者行微创LISS钢板治疗。男14例，女7例。手术采用微创小切口复位，经骨膜外与肌肉间插入钢板，经皮小切口将带锁定头的螺钉与钢板的螺孔单皮质固定。结果:术后平均随访10个月(6~12月)，骨折大部分愈合。膝关节功能按患者主观感受及客观检查结果以Kolment评分法进行评估。优13例，良6例，可1例，差l例。优良率90.5%。所有病例无断板断钉及感染发生

2、。结论:LISS钢板设计独特，可保护骨膜及骨折部位的血运，促进骨折愈合和功能恢复。LISS所具备的生物学接骨特性成为股骨远端骨折新的治疗方法。对临床治疗提供了新的选择。关键词股骨远端骨折;骨折内固定;微创内固定系统;疗效···TreatmentofDistalFemoralFracturesbyInternalFixationwiththeLessInvasiveStabilizationSystem(LISS)Speciality:OrthopedicsofTCMAuthor:LiMingqiTutor:ProfMengKaiAbstra

3、ctObjective:ToexploretheclinicalresultoffixationonthedistalfemurfracturewithLISS(LessInvasiveStabilizationSystem),andtoanalyzetherelatedfactorsduringtheoperation.Methods:Fromoct.2009tomar.2011，21PatientsweretreatedwithLISS.Therewere14malesand7females，withagefrom26to71years

4、.TheLISSplateswereinsertedbeneaththePeriosteumthroughasmallincisionafterclosedreduction.Thelockingscrewswereinsertedthroughstabincisions，andbymonocorticalfixation.Results:AlmostallthePatientsachievedboneunionduringthefollowupfrom6to12months.2Patientshadtheirimplantsremoved

5、.ThefunctionofthekneewasevaluatedaccordingtoKolmentscoresystembasedonboththesubjectivefeelingandobjectivePE，andtherewere13excellentand6goodand1acceptableand1Poor，thegood-excellentratewas90.5%.TherewasnobrokenofscreworPlateandnoinfectioninallofthePatients.Conclusions:Theuni

6、quedesignedLISShastheadvantagesofProtectingthebloodsupplyofbonefragmentsandthePeriosteum，optimizingboneunionandfunctionrecovery.LISSProvidesanalternativefortreatmentofdistalfemoralfractures.However，asanewdesignedsystem，notonlyconceptionbuttheProcedureaswellshouldbedemanded

7、strictly.Keywords:Distalfemoralfractures;Fracturefixation;Lessinvasivestabilizationsystem;Treatmentoutcome···目录引言...............................................................................................................................1临床研究............................

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