LISS钢板治疗胫骨近端骨折的临床研究

发布时间：2018-07-05 00:32

本文选题：胫骨近端 + 骨折　；参考：《山东中医药大学》2015年硕士论文

【摘要】：目的:通过研究使用LISS钢板治疗胫骨近端骨折的术后疗效,为其临床应用提供科学依据。方法:收集山东省中医院骨科病房治疗胫骨近端骨折病例且病例资料完整者30例,其中男性20例,女性10例,分别占66.7%和33.3%,男女比例为2:1。年龄分布:在18岁~70岁之间,其中坠落伤10例,车祸伤16例,砸压伤4例,按照AO分型:41A1型10例,41A3型5例,41C1型9例,41C2型6例,手术均使用LISS钢板治疗,定期随访病人情况。结果:术后随访6~12月,均未发现任何并发症及感染。术后除一例出现延迟愈合,其余29例4周后均出现骨痂,未出现骨折再移位、内固定物松动等情况,下肢功能在术后3~4月表现较好,下地负重时间为12~24周。结论:LISS钢板治疗具有微创,对血运保护好,手术用时短等优点,显著提高了术后患者功能锻炼时间早,康复速度快,感染几率小好等优点,其采用闭合复位可获得良好的力线,术后不易出现软组织方面的并发症,膝关节功能恢复较好。
[Abstract]:Objective: to provide scientific basis for clinical application of Liss plate in the treatment of proximal tibial fractures. Methods: 30 cases of proximal tibial fracture treated in orthopedic ward of Shandong traditional Chinese Medicine Hospital were collected, including 20 males and 10 females, accounting for 66.7% and 33.3%, respectively. The ratio of male to female was 2: 1. Age distribution: between 18 and 70 years old, 10 cases of falling injury, 16 cases of traffic accident injury, 4 cases of smash-crushing injury, 5 cases of type 41A3 according to AO classification, 9 cases of type 41C1 and 6 cases of type 41C2, were treated with Liss plate, and the patients were followed up regularly. Results: no complication or infection was found after 6 ~ 12 months follow-up. Except for one case with delayed healing, the rest 29 cases had callus after 4 weeks, no fracture redisplacement, internal fixation loosening and so on. The lower extremity function was better 3 ~ 4 months after operation, and the loading time was 1224 weeks. Conclusion the treatment of the weight Liss plate has the advantages of minimally invasive, good protection of blood supply and short duration of operation. It has the advantages of early time of functional exercise, rapid recovery speed and low infection rate. Closed reduction can obtain good force line. Soft tissue complications were not easy to occur after operation, and the knee joint function recovered better.
【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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