股骨髁部骨折LISS系统内固定后康复治疗研究

发布时间：2018-06-22 07:49

本文选题：股骨髁部骨折 + 微创内固定系统　；参考：《山东中医药大学》2015年硕士论文

【摘要】：目的:探讨股骨髁部骨折LISS微创系统(limited invasive Stabilization system,LISS)内固定后的康复功能锻炼方式。方法:自2012年9月至2014年12月,我院应用LISS钢板治疗股骨髁部骨折30例,男17例,女13例;平均年龄54岁(18-82岁)。其中包含车祸伤20例、高处坠落伤6例,重物砸伤4例;开放性损伤3例,闭合性损伤27例。手术采用微创小切口复位,经骨膜外与肌肉间插入钢板,经皮小切口将带锁定头的螺钉与钢板的螺孔单皮内固定,术后14天之内行膝关节CPM机康复功能锻炼。结果:患者术后1年内定期随访,骨折全部临床愈合。膝关节功能按患者主观感受及客观检查结果,以Kolment评分法进行评估。结果显示优13例,良6例,可1例,差l例。优良率90.5%。所有病例切口愈合良好,内固定无断裂,无感染等情况发生。结论:LISS内固定系统设计优良独特,可保护骨膜及骨折部位的血运,CPM机可以防止关节僵硬、促进关节软骨的修复、提高关节活动度,二者结合使用可以促进骨折愈合和膝关节功能的恢复,值得临床推广。
[Abstract]:Objective: to investigate the rehabilitation functional exercise of femoral condylar fracture after (limited invasive stabilization system (Liss) internal fixation. Methods: from September 2012 to December 2014, 30 patients (17 males and 13 females) with femoral condylar fractures were treated with Liss plate, with an average age of 54 years (18-82 years). There were 20 cases of traffic accident injury, 6 cases of falling injury, 4 cases of heavy object injury, 3 cases of open injury and 27 cases of closed injury. Minimally invasive small incision was used for reduction, plate was inserted between the periosteum and muscle, and the screw with locking head and the screw hole of the plate were fixed with single skin through the percutaneous small incision. The rehabilitation function of knee joint CPM was performed within 14 days after operation. Results: the patients were followed up regularly within 1 year after operation, all the fractures healed clinically. Knee function was evaluated by Kolment score according to subjective feeling and objective examination results. The results showed excellent in 13 cases, good in 6 cases, fair in 1 case and poor in 1 case. The excellent and good rate is 90.5%. All cases had good wound healing, no rupture of internal fixation and no infection. ConclusionThe design of the WLISS internal fixation system is excellent and unique. CPM can protect the periosteum and fracture site with CPM, which can prevent joint stiffness, promote the repair of articular cartilage, and improve the range of joint motion. Combined use of the two can promote fracture healing and the recovery of knee joint function, which is worthy of clinical promotion.
【学位授予单位】：山东中医药大学
【学位级别】：硕士
【学位授予年份】：2015
【分类号】：R687.3

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