LISS钢板治疗股骨远端骨折临床地研究.pdf

Clinical Research of LISS plate in the treatment of distal femoral fractures Speciality：Orthopedics of TCM Author ：Shi Qing Sheng Tutor：Professor Li Gang ABSTRACT Objective: To explore the clinical result of fixation on the distal femur fracture with LISS(Less Invasive Stabilization System) comparing with the methods of using the anatomical plate. Methods: We collected the patients of femoral fractures in total 41cases from Affiliated Hospital of Shandong University of Traditional Chinese Medicine Orthopedic from2009.6to2011.3 ，including of 20 patients treated with LISS and 21 treated with anatomical plate. In the Anatomical plate fixation group，there were 17 males and 4 females，with age from 22 to 65 years(mean ，40.09±12.72 years). In the LISS fixation group，there were15 males and 5 females ，with age from 21 to 61 years(mean ，41.10±10.89 years) .The two groups were compared in patients with incision length, amount of bleeding, surgical time, fracture heeling time, and the degree of improvement of the postoperative knee function using the HSS score. Results: Postoperative anatomical plate group were followed up for 12-18 months, an average of 12.9 months; LISS plate group were followed up for 12-18 months, with an average of 13.2 months. All incisions healed. The anatomical plate group，excellent and good was 85.7%, and the LISS plate group was 89.9%. There was no significant between the two groups, P0.05. Operative time, surgical incision, the amount of bleeding, fracture healing time, the LISS plate group was superior to anatomical plate group, P ﹤0.05. Conclusion: LISS and anatomic plate in the treatment of complex distal