CAJ | 학술논문

目的：探讨微创稳定系统（LISS）钢板在股骨远端关节内骨折治疗的疗效和安全性。方法将上海市闸北区中心医院2010年8月至2011年8月收治的股骨远端骨折患者48例随机分为观察组（27例）和对照组（21例），其中对照组采用常规解剖钢板固定，观察组采用LISS钢板固定，对比两组患者手术切口长度、出血量、手术时间、骨折愈合时间，采取HSS膝关节评分标准评价手术后膝关节功能的情况。结果术后两组患者膝关节功能比较，差异无统计学意义（P＞0．05）；采用统计学方法对骨折愈合时间、手术切口长度、术中出血量、手术时间进行比较，观察组均优于对照组，差异有统计学意义（P＜0．05）。结论采用LISS钢板治疗股骨远端关节内骨折治疗效果满意，具有手术时间短、术中出血量少、创伤小、术后骨折愈合时间短等优点，为目前骨外科医疗条件下治疗股骨远端关节内骨折的理想选择。
목적：탐토미창은정계통（LISS）강판재고골원단관절내골절치료적료효화안전성。방법장상해시갑북구중심의원2010년8월지2011년8월수치적고골원단골절환자48례수궤분위관찰조（27례）화대조조（21례），기중대조조채용상규해부강판고정，관찰조채용LISS강판고정，대비량조환자수술절구장도、출혈량、수술시간、골절유합시간，채취HSS슬관절평분표준평개수술후슬관절공능적정황。결과술후량조환자슬관절공능비교，차이무통계학의의（P＞0．05）；채용통계학방법대골절유합시간、수술절구장도、술중출혈량、수술시간진행비교，관찰조균우우대조조，차이유통계학의의（P＜0．05）。결론채용LISS강판치료고골원단관절내골절치료효과만의，구유수술시간단、술중출혈량소、창상소、술후골절유합시간단등우점，위목전골외과의료조건하치료고골원단관절내골절적이상선택。
Objective To investigate efficacy and safety of the AO Percutaneous stabilization system (LISS) plate in the treatment of intra-articular distal femoral fractures .Methods A total of 48 patients with distal femoral fractures were randomly divided into observation group (27 cases) and control group (21 cases) from Aug .2010 to Aug .2011 .Conventional anatomic plate fixation was used in control group ,and LISS plate fixation was used in obser-vation group .Incision length ,blood loss ,operative time and healing time were compared between the two groups ,and HSS score was used to evaluate the degree of improvement of knee function .Results Excellent rates of knee function were without statistical difference between the two groups (P>0 .05) ,but incision length ,blood loss ,operative time and fracture healing time in observation group were superior to control group (P< 0 .05) .Conclusion LISS treat-ment could obtain satisfactory results ,with shorter operative time ,less blood loss ,less fracture healing time ,which might be ideal choice for current treatment of distal femoral fractures .