| 微创内固定系统治疗胫骨远端粉碎性骨折 |
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Received:October 16, 2012
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| 作者 | Author | 单位 | Unit | E-Mail |
| 张忠 |
ZHANG Zhong |
福建医科大学福总临床医学院 南京军区福州总院476医院骨科, 福建 福州 350002 |
Department of Orthopaedics, the 476th Hospital of Fuzhou General Hospital of Nanjing Military Command, Fuzhou 350002, Fujian, China |
zz4760@163.com |
| 刘永平 |
LIU Yong-ping |
福建医科大学福总临床医学院 南京军区福州总院476医院骨科, 福建 福州 350002 |
Department of Orthopaedics, the 476th Hospital of Fuzhou General Hospital of Nanjing Military Command, Fuzhou 350002, Fujian, China |
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| 期刊信息：《中国骨伤》2013年26卷，第5期，第435-437页 |
| DOI：10.3969/j.issn.1003-0034.2013.05.020 |
| 基金项目:“中医骨伤科学”国家重点学科(编号:100508);上海领军人才项目(编号:041);上海市科委重点项目(编号:09dZ1973800);上海市卫生局中医药科研专项(编号:2010L018A);海派中医流派传承基地项目(编号:ZYSNXD-CC-HPGC-JD-001) |
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目的: 评价微创内固定系统(LISS)治疗胫骨远端粉碎性骨折的临床疗效。
方法: 2006年2月至2010年2月应用LISS治疗胫骨远端粉碎性骨折48例, 男30例, 女18例;年龄18～78岁, 平均31.5岁。按AO分类, A3型13例, B1型19例, C1型10例, C2型6例。手术均采用间接复位, 小切口手术入路, 严格按照LISS操作程序进行。术后1、3、6个月及1年进行随访。
结果: 所有患者获随访, 平均时间12.5个月(6～15个月).术后均无须石膏外固定, 第1天开始进行患肢踝关节主、被动功能锻炼, 完全负重时间为12.3周(11～16周).所有患者无感染、延迟愈合、断钉、断钢板等并发症。手术时间平均50 min(45～60 min),切口长度平均6 cm(5～7 cm),按Helfer踝关节功能评分标准, 优37例, 良7例, 可4例。
结论: 微创内固定系统结合间接复位、小切口技术, 具有创伤小、骨折愈合快、固定牢靠、可早期功能锻炼等优点, 是治疗胫骨远端复杂性骨折最佳方法之一。 |
| [关键词]:骨折固定术, 内 胫骨骨折 外科手术, 微创性 |
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| Treatment of comminuted distal tibial fractures with the less invasive stabilization system(LISS) |
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Abstract:
Objective: To evaluate clinical effects of minimal invasive stabilization system(LISS) for the treatment of comminuted distal tibial fractures.
Methods: From February 2006 to February 2010,48 patients with comminuted distal tibial fractures were treated with LISS. There were 30 males and 18 females,ranging in age from 18 to 78 years. According to AO classification,there were 13 cases of A3,19 cases of B1,10 cases of C1 and 6 cases of C2. All the patients were treated with indirect reduction,small incision and followed up at the 1st,3rd and 6 months,1 year after operation.
Results: All the patients were followed up,and the duration ranged from 6 to 15 months(averaged,12.5 months). Active and passive exercises started at the first day after surgery without casting. The average time of full weight loading were 12.3 weeks (ranged,11 to 16 weeks). No complications,such as nonunion,breakage of plate and screw or deep infection,occurred in all patients. The mean operation time was 50 minutes(ranged,45 to 60 min) and the average length of incision was 6 cm (ranged,5 to 7 cm). According to Helfer criterion for clinical result,excellent results were obtained in 37 patients,good in 7,and fair in 4.
Conclusion: Since LISS combined with indirect reduction and minimal invasion provides solid fixation,promotes bone heeling and permits early functional rehabilitation,which is well suited for the treatment of severe distal tibial fractures. |
| KEYWORDS:Fracture fixation,internal Tibia fractures Surgical procedure,minimally invasive |
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| 引用本文，请按以下格式著录参考文献： |
| 中文格式: | 张忠,刘永平.微创内固定系统治疗胫骨远端粉碎性骨折[J].中国骨伤,2013,26(5):435~437 |
| 英文格式: | ZHANG Zhong,LIU Yong-ping.Treatment of comminuted distal tibial fractures with the less invasive stabilization system(LISS)[J].zhongguo gu shang / China J Orthop Trauma ,2013,26(5):435~437 |
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