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1、提要目的：探讨LISS钢板治疗复杂性胫骨近端骨折的临床疗效。方法：收集30例山东中医药大学附属医院骨科病房治疗胫骨近端骨折病历完整者，均采用LISS钢板治疗。对手术切口长度、术中出血量、骨折愈合时间、膝关节的功能评定结果等有关数据进行收集、整理、分析、总结及比较，研究我院应用LISS钢板治疗复杂性胫骨近端骨折的现状，通过对这些病例的探讨、分析，为临床上治疗此类骨折提供更多指导。结果：微创切口，术中出血不多。未发现任何并发症。术后4周出现骨痂，术后8周复查见骨折线模糊，骨痂生长良好，术后l2周临床骨折愈合。半年复查见骨折线消失，骨
2、痂大量生长，骨折愈合时间较短。完全负重时间开始于l2～26周。平均骨性愈合时间为6个月。结论：LISS钢板为复杂性胫骨近端骨折的治疗提供了新的选择，具有创伤小、固定牢固可靠、可早期功能锻炼及有效保留膝关节功能的优点。关键词胫骨近端；复杂性骨折；LISS钢板TheClinicalResearchofLISSSteelPlateUsingintheTreatmentofProximalTibialComplexityFractureSpeciality:OrthopedicsofTraditionalChineseMedicineA
3、uthor:ZhangMingjianTutor:HanMingAbstractObjective:ToexploreclinicaleffectsofLISSsteelplateusinginthetreatmentofproximaltibialcomplexityfracture.Methods:Choosing30completecasedataofpatientswithproximaltibialcomplexityfractureusingLISSsteelplateofShandonguniversityofTr
4、aditionalChineseMedicinehospitalward.Collecting,collating,summarizing,analyzingandcomparingsurgicalincisionlength,intraoperativebleeding,fracturehealingtime,thefunctionofthekneejointevaluationresults,andotherrelateddata,andresearchingthestatusquoofLISSsteelplateappli
5、cationinthetreatmentofproximaltibialcomplexityfractureofourhospital.Throughanalyzinganddiscussingaboutthesecasesinordertoprovidemoreguidanceforclinicaltreatmentofsuchfracture.Results:Minimallyinvasiveincision,fewbleedinginsurgery.Withoutanypostoperativecomplications.
6、Callusappearredafterfourweeks,fracturelineappearredfuzzyaftereightweeksreview,callusgrowthwasgood,fracturehealedclinicallyafter12weeks.Halfayearreviewshowedfracturelinedisappearred,callusappearredlargegrowth,thehealingtimewasshortobviously.Fullweightbearingtimebegani
7、nl2～26weeks.Averageostealhealingwas6months.Conclusion:TheLISSsteelplateprovidesanewchoiceforthetreatmentofproximaltibialcomplexityfractures,andithastheadvantagesofsmalltrauma,reliableandtightfix,andearlyfunctionalexercisetoreservekneejointfunctioneffectively.Keywords
8、proximaltibial;Complexityfracture;LISSsteelplate目录引言...............................................................................
