CAJ | 학술논문

　　目的探讨微创固定系统（LISS）接骨板治疗股骨远端C型骨折的临床疗效。方法自2010年7月至2012年8月，采用LISS接骨板治疗21例股骨远端骨折患者。根据AO/ASIF分型，C1型5例，C2型9例，C3型7例，均为闭合性骨折。疗效评价采用Kotmert评分系统。结果术后随访7～15个月，平均9．8个月，21例患者均得到随访。21例患者均无感染、断钉、断板等发生，骨折均愈合，愈合时间为术后11～19周，平均13周。根据Kotmert评分，优11例，良8例，可2例，优良率90．5％。结论应用LISS接骨板治疗股骨远端C型骨折疗效满意，术后骨不连、感染等并发症少，膝关节功能恢复优良率高。
　　목적탐토미창고정계통（LISS）접골판치료고골원단C형골절적림상료효。방법자2010년7월지2012년8월，채용LISS접골판치료21례고골원단골절환자。근거AO/ASIF분형，C1형5례，C2형9례，C3형7례，균위폐합성골절。료효평개채용Kotmert평분계통。결과술후수방7～15개월，평균9．8개월，21례환자균득도수방。21례환자균무감염、단정、단판등발생，골절균유합，유합시간위술후11～19주，평균13주。근거Kotmert평분，우11례，량8례，가2례，우량솔90．5％。결론응용LISS접골판치료고골원단C형골절료효만의，술후골불련、감염등병발증소，슬관절공능회복우량솔고。
Objective To explore curative effect of less invasive stabilization system (LISS) in the treatment of distal femoral type C fractures .Methods 21 patients with C type of distal femur fractures treated by internal fixation with LISS from July 2010 to August 2012 were choosen ,in which 5 cases in C1 type ,9 cases in C2 type and C3 type 7 cases according to AO/ASIF classification ,all the patients were closed fractuers .Kotmert scoring system was used for Curative effect evaluation .Results 21 patients were followed up after Postoperative for 7 -15 months ,with an average of 9 .8 months .No infection ,broken nails ,broken boards ,etc .occured ,fractures all healed .Healing time was 11 to 19 weeks after surgery ,with an average of 13 weeks ..According to the scoring systems of Kotmert ,11 patients had an excellent functional result .8 patients had an good functional result .2 patient had an poor functional result .The rate of excellent and good was 90 .5% .Conclusion It might be with satisfactory by applicating LISS plate to treat distal femoral type C fractures ,and postoperative complications such as nonunion and bone infection might be less with high functional recovery rate .