锁定钢板和LISS钢板治疗股骨远端骨折的对比研究

发布时间：2018-04-21 23:24

  本文选题：股骨远端骨折 + 锁定钢板　； 参考：《新疆医科大学》2015年硕士论文

【摘要】：目的：探讨应用锁定钢板与微创内固定系统(LISS)治疗股骨远端骨折的并发症和早期临床效果疗效差异。方法：收集了2012年9月-2014年8月新疆医科大学第五附属医院采用锁定钢板与LISS钢板治疗的82例股骨远端骨折患者的临床资料。根据纳入标准与排除标准筛选患者60人,其中锁定钢板者24例,LISS板36例,年龄20-72岁,从手术时间、出血量、手术切口长度、住院时间以及骨折的愈合时间、膝关节评分Evanich评分五个方面的评价对2种治疗方法进行比较分析。结果:LISS与锁定钢板组相比,LISS组切口长度短,术中出血量少,手术时间短(P0.05),2组骨折愈合时间、住院时间比较有统计学意义。术后4周发生感染1例(锁定钢板组),骨折不愈合1例(LISS钢板组),因患膝关节活动度降低行膝关节镜下松解术1例(锁定钢板组)。LISS钢板组Evanich评分总分为(90.6±3.3)分,高于锁定钢板组的(81.2±1.8)分。结论：微创刚板是治疗股骨远端骨折的理想内固定方式。
[Abstract]:Objective: to investigate the complications and early clinical effects of locking plate and minimally invasive internal fixation system (LISS) in the treatment of distal femoral fractures. Methods: the clinical data of 82 patients with distal femoral fractures treated with locking plate and LISS plate in the Fifth affiliated Hospital of Xinjiang Medical University from September 2012 to August 2014 were collected. Sixty patients were selected according to the inclusion criteria and exclusion criteria, including 24 cases of locking plate with Liss plate, aged 20-72 years, from operative time, bleeding volume, length of incision, length of hospital stay and healing time of fracture. The evaluation of knee joint score (Evanich) in five aspects was used to compare and analyze the two treatment methods. Results compared with the locking plate group, the length of incision was shorter, the amount of intraoperative bleeding was less, the operative time was shorter than that of the locking plate group, and the time of fracture healing and hospitalization were significantly different between the two groups. Infection occurred in 1 case 4 weeks after operation (locking plate group, fracture nonunion group 1 case, Liss plate group 1 case), knee arthroscopic lysis was performed in 1 case (the total score of Evanich score of locking plate group was 90.6 卤3.3), and that of Liss plate group was 90.6 卤3.3%, the total score of Liss plate group was 90.6 卤3.3%, and the total score of Liss plate group was 90.6 卤3.3%. It was higher than that of locking plate group (81.2 卤1.8). Conclusion: minimally invasive rigid plate is an ideal internal fixation for distal femoral fracture.
【学位授予单位】：新疆医科大学
【学位级别】：硕士
【学位授予年份】：2015
【分类号】：R687.3
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本文编号：1784586