CAJ | 학술논문

目的探讨微创内固定系统(less invasive stabization system,LISS)治疗胫骨粉碎性骨折的方法和疗效.方法回顾性研究自2005年1月至2006年7月使用LISS钢板治疗胫骨近、远端骨折合并邻近骨干粉碎性骨折14例,其中男10例,女4例;年龄19～61岁,平均34岁.其中胫骨近端11例,远端3例;开放性骨折6例,闭合性骨折8例.伤后至手术时间2～13 d,观察术后软组织恢复及骨折愈合情况.结果术后随访4～16个月,平均9.4个月.骨折愈合时间4～12个月.平均7.8个月.所有切口均Ⅰ期愈合,无一例发生神经、血管、软组织并发症.胫骨轴线及膝、踝关节功能良好.结论应用LISS系统治疗胫骨粉碎性骨折,具有操作简单、创伤小、愈合率高、并发症少等优点.
목적 탐토미창내고정계통(less invasive stabization system,LISS)치료경골분쇄성골절적방법화료효.방법 회고성연구자2005년1월지2006년7월사용LISS강판치료경골근、원단골절합병린근골간분쇄성골절14례,기중남10례,녀4례;년령19～61세,평균34세.기중경골근단11례,원단3례;개방성골절6례,폐합성골절8례.상후지수술시간2～13 d,관찰술후연조직회복급골절유합정황.결과 술후수방4～16개월,평균9.4개월.골절유합시간4～12개월.평균7.8개월.소유절구균Ⅰ기유합,무일례발생신경、혈관、연조직병발증.경골축선급슬、과관절공능량호.결론 응용LISS계통치료경골분쇄성골절,구유조작간단、창상소、유합솔고、병발증소등우점.
Objective To discuss the method and efficiency of less invasive stabilization system (LISS) in treatment of comminuted tibia[ fractures. Methods A total of 14 patients with comminuted tibial fractures were treated with LISS between January 2005 and July 2006. There were 10 males and four females, at age range of 19-61 years (mean 34 years). Of all, 11 patients were with proximal fractures of tibia and three with distal ones, including six with open fractures and eight with closed ones. The period from injury to operation was 2-13 days. An observation was done on postoperative soft tissue recovery and fracture healing. Results The average period of follow-up was 9.4 months (4-16 mouths). All frac-tures were healed up after average 7.8 months (4-12 months). All incisions were healed up at one stage, with no complications on nerves, blood vessels or soft tissues. The axes of tibia were good, with sound function of knee and ankle joints. Conclusion LISS is characterized by easy operation, minor trauma, high healing rate and low complications in treatment of comminuted tibial fractures.