CAJ | 학술논문

目的：探讨微创稳定系统（LISS）钢板内固定治疗老年糖尿病患者股骨髁上骨折的疗效。方法选取2004年1月-2012年10月秦皇岛市第一医院收治采用LISS钢板内固定治疗的老年糖尿病患者股骨髁上骨折32例。入院后控制血糖，采用闭合复位LISS钢板内固定治疗股骨髁上骨折，观察手术时间、术中出血量、切口愈合时间及随访膝关节功能（HSS）评分。结果本组患者手术时间60～90 min，平均70 min；术中出血量200～400 ml，平均250 ml；切口愈合时间14～18 d。无切口感染、延迟愈合或不愈合。平均随访14个月。骨折愈合时间为6～12个月，平均10个月。无内固定物松动、断裂。患肢膝关节活动范围均恢复到受伤前水平。随访HSS评分57～91分，平均71.6分，其中优9例，良20例，中2例，差1例。结论闭合复位LISS 钢板内固定治疗老年糖尿病患者股骨髁上骨折，手术创伤小、术后并发症少。
목적：탐토미창은정계통（LISS）강판내고정치료노년당뇨병환자고골과상골절적료효。방법선취2004년1월-2012년10월진황도시제일의원수치채용LISS강판내고정치료적노년당뇨병환자고골과상골절32례。입원후공제혈당，채용폐합복위LISS강판내고정치료고골과상골절，관찰수술시간、술중출혈량、절구유합시간급수방슬관절공능（HSS）평분。결과본조환자수술시간60～90 min，평균70 min；술중출혈량200～400 ml，평균250 ml；절구유합시간14～18 d。무절구감염、연지유합혹불유합。평균수방14개월。골절유합시간위6～12개월，평균10개월。무내고정물송동、단렬。환지슬관절활동범위균회복도수상전수평。수방HSS평분57～91분，평균71.6분，기중우9례，량20례，중2례，차1례。결론폐합복위LISS 강판내고정치료노년당뇨병환자고골과상골절，수술창상소、술후병발증소。
ObjectiveTostudythecurativeeffectofclosedreductionandLISSsteelplateinternalfixationinthetreat-ment of elderly patients with diabetes and supracondylar fracture .Methods A total of 32 patients with supracondylar fracture and diabetes who admitted to the First Hospital of Qinhuangdao from January 2004 to October 2012 were selected as study sub-jects.Blood sugar level of patients was controlled after admission , LISS steel plate internal fixation was used to treat supracondylar fracture, duration of operation , bleeding volume in operation , healing time of incision and follow -up record of knee functional (HSS) score were observed.Results The duration of operation time among patients in study group was 60-90 minutes, average duration of operation time was 70 minutes.Bleeding volume in operation was about 200-400 ml, average bleeding volume was 250 ml.Incision healing time was 14-18 days.No incision infection , delayed healing and nonunion cases .The mean followed-up was 14 months.Fracture healing time was 6 -12 months, average healing time was 10 months.No case was found to have looseness or breakage of internal fixation .The range of motion ( ROM) of the knee joint returned to the level of before the inju-ry.Follow-up record of HSS was 57-91 points, average score was 71.6 points, HSS was excellent in 9 cases, good in 20 ca-ses, fair in 2 cases, and poor in 1 case.Conclusion LISS steel plate internal fixation in the treatment of elderly patients with diabetes and supracondylar fracture had the advantages of lesser trauma and lesser postoperative complications .