LISS钢板治股骨远端骨折.docVIP

微创技术LISS接骨板治疗lemonch@163.com。 通讯地址：江苏省常熟市书院街1号，常熟市第一人民医院骨科。 摘要: 目的 探讨采用微创技术LISS接骨板治疗股骨远端骨折的方法和临床效果。方法 41例股骨远端骨折的病例，均采用微创技术LISS接骨板行微创复位内固定术。其中A A1型骨折4例，A2型5例，A3型9例； C1型骨折9例，C2型6例，C3型8例。其中6例为开放性骨折，2例伴有脑外伤，4例伴有肋骨骨折，1例开放性骨折的病例伴有胫后神经的挫伤，7例伴有严重的骨质疏松。结果 所有患者切口均一期愈合，无感染病例出现。全部获随访，随访时间6-17月，1例出现骨不连并接骨板断裂。其余骨折均骨性愈合,平均时间5-6个月。按Schatzker评定标准，优良率为85.3%。结论 LISS接骨板具有创伤小、并发症少、骨愈合率高等优点，特别适合骨折粉碎和软组织损伤较重的病例。 关键词： 微创技术，LISS接骨板，股骨远端骨折 To Treat Distal Femoral Fracture With Less Invasive Stabilization System. CHEN Bing-qian， SHEN-wen，XUE Feng，LU Jian-min，QIAN Yufeng （Dept of rthopaedics，the First People`s Hospital of Changshu Affiliated To Suzhou University, Changshu, JiangSu, 215500, China） Abstract : Objective o study the techniques and clinical effects of using less invasive stabilization system to treat distal femoral fractures. Method: 41 casese with fracture of distal femoral were all treated by AO less invasive stabilization system. A1 4 cases A1 type，5 cases were A2 type. 9 cases were A3 type；9 cases were C1 type，6 cases were C2 type，8 cases were C3 type。Results: all cases` cuts were primary healing. In 6~17 months follow-up , 1 case got non-union and got palte rupture after 8 months. Others cases got union in 5~6 months. According to Schatzker scores , the excellent rate is 85.3%. Conclutions: LISS is a very effective and excellent treatment to the fractures of the lateral femoral .It is superior to traditional plates，especially suitable for comminuted fractures with severe soft tissue injury. Key words: BO principle; LISS; diatal femoral fracture. ? 股骨远端骨折LISS(less invasive stabilization system)结合了带锁髓内钉技术和生物学接骨板技术的优势，具有创伤小、稳定性强，符合生物力学等优点。我科2007年2月～2010年1月应用LISS接骨板治疗股骨远端骨折，取得了优良的疗效，报道如下。 1材料与方法 1.1病例资料例，男，女例，方法利用牵引架等各种复位骨折，骨膜透视证实骨折对位对线良好，插入的，锁钉固定术后活动关节。结果术后摄片愈合时间个月。dynamic condylar screw，DCS）内固定术，术后6月复查X线摄片示骨折愈合。未出现感染的病例，无下肢深静脉血栓形成病例。按Schatzker评定标准［1］，本组优25例，良10例，中3例，差3例，其优良率达85.3%。1例胫后神经挫伤的病例，术后3月神经功能恢复良好。 3 讨论股骨远端骨折dynamic condylar screw，DCS）、髁钢板、逆行髓内钉等。传统的钢板固定如DCS、髁钢板，往往需要行切开