CAJ | 학술논문

目的：探讨LISS 钢板在胫骨远端骨折治疗中的应用价值。方法选取我院2012年6月~2014年6月收治入院的胫骨远端骨折患者58例，按患者治疗方法不同分为对照组（29例）和治疗组（29例），给予对照组患者普通解剖钢板固定，给予治疗组患者LISS 钢板微创内固定，观察两组患者手术时间、术中出血量、骨折愈合时间、并发症发生率、膝关节活动自由度等指标，并进行统计对比分析。结果治疗组患者术中出血量、手术时间、骨性愈合时间均明显低于对照组，HSS 评分明显高于对照组，两组比较差异均有统计学意义（P＜0.05）；两组患者经过治疗后，两组患者均出现了膝外翻等并发症，但治疗组的各项并发症人数均低于对照组，治疗组的并发症总人数也远远少于对照组（x2=3.976，P＜0.05）。治疗组自体植骨率明显低于对照组，且差异有统计学意义（x2=8.344，P＜0.05）；两组患者进行HSS 评定后，治疗组患者优良率96.55%，对照组患者优良率为86.21%，治疗组的优良率明显高于对照组，具有统计学意义（x2=3.955， P＜0.05）。结论在胫骨远端骨折治疗中，LISS 钢板微创治疗疗效确切、安全、有效，并发症少、预后良好，膝关节功能恢复好，值得推广。
목적：탐토LISS 강판재경골원단골절치료중적응용개치。방법선취아원2012년6월~2014년6월수치입원적경골원단골절환자58례，안환자치료방법불동분위대조조（29례）화치료조（29례），급여대조조환자보통해부강판고정，급여치료조환자LISS 강판미창내고정，관찰량조환자수술시간、술중출혈량、골절유합시간、병발증발생솔、슬관절활동자유도등지표，병진행통계대비분석。결과치료조환자술중출혈량、수술시간、골성유합시간균명현저우대조조，HSS 평분명현고우대조조，량조비교차이균유통계학의의（P＜0.05）；량조환자경과치료후，량조환자균출현료슬외번등병발증，단치료조적각항병발증인수균저우대조조，치료조적병발증총인수야원원소우대조조（x2=3.976，P＜0.05）。치료조자체식골솔명현저우대조조，차차이유통계학의의（x2=8.344，P＜0.05）；량조환자진행HSS 평정후，치료조환자우량솔96.55%，대조조환자우량솔위86.21%，치료조적우량솔명현고우대조조，구유통계학의의（x2=3.955， P＜0.05）。결론재경골원단골절치료중，LISS 강판미창치료료효학절、안전、유효，병발증소、예후량호，슬관절공능회복호，치득추엄。
Objective To explore the application value of LISS plates in the treatment of distal tibial fractures. Methods 58 patients with distal tibial fractures who were admitted to our hospital and received hospitalization from June 2012 to June 2014 were allocated into the control group (29 patients) and the treatment group (29 patients) according to different treatments of them. Patients in the control group received common anatomical plate fixation while patients in the treatment group received LISS plate with minimally invasive internal fixation. Indexes such as duration of operation, intraoperative blood loss, the fracture healing time, complication rate and freedom of the knee joint activity of patients etc. in two groups were observed.ResultsIntraoperative blood loss, duration of operation and the fracture healing time of patients in the treatment group were all significantly less than those in the control group and the HSS score was significantly higher than that in the control group. The difference was statistically significant (P<0.05). Complications such as Genu valgum etc. were all appeared in the patients of the two groups after treatment while the number of patients with each complication in the treatment group was all smaller than that in the control group and the total number of patients with complications in the treatment group was significantly smaller than that in the control group (x2=3.976,P<0.05). The rate of autologous bone graft in the treatment group was significantly lower than that in the control group and the difference was statistically significant (x2=8.344,P<0.05). Patients in two groups were all received HSS evaluation and the excellent and good rate of patients in the treatment group was 96.55% while the excellent and good rate of patients in the control group was 86.21%. The excellent and good rate of the treatment was significantly higher than that of the control group and it is statistically significant (x2=3.955,P<0.05). Conclusion In the treatment of distal tibial fracture, curative effect of minimally invasive treatment of LISS plate is exact, safe and effective and it has less complications, a good prognosis and a good recovery of knee joint function which is worthy of promotion.