微创liss接骨板治疗胫骨近端干骺端粉碎性骨折

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1、湖北中医学院硕士学位论文cases，acceptablein5cases，andpoorin1cases．sothegood—excellentratein81．3％．afteroperationaboutthepaintstatusoftheinjured—knee．thereisnoobviousdifferencesresultes(P>0．05)．comparingaboutthekneeactivitiesscope，Lisbladeplatefixedsetsisexcellentin16cases，goodin5

2、cases，acceptablein2cases，andpoorin1case．sothegood—excellentratein87．5％：ordinarysteelplatesisexcellentin16cases，goodin9cases，acceptablein5cases，andpoorin2cases．sothegood—CXCCl1entratein78．1％．Thus．afterstatistics，whichreflectsgreatlyobviousdifferenceonthekneerecoverin

3、g(P

4、isexcellentin16cases，goodin10cases，acceptablein4Casess，andpoorin2cases，thegood—excellentratein81．2％．Afterstatisticsandiflvestigate。whichreflectsgreatobviousdifference，andLISSbladeplateisbetterinoperatedshort—termclinicalefficacy．(P

5、spectofeconomic，miCrOLISSbladeplatehasashortcomingthattheaveragecostismoreexpensiveandtheoperationtimeismuchlongerduetomorefrequentX-ray，whichwillincreasethepatients’expenseburdenfP<0．01)．ConelusionComparedthetteatmentsbetweenMicroLISSbladeP1ateandordinarysteelfixed

6、platetoproximaltibialfractures，usingLISSbladeplateisadvantagedinmakingtheoperationsimply，betterforrecovering，andshorteningtheclinicalrecoveringtime，moreefficacyforfractureinshort-termcIinicandbetterforthefunctionoftheknee．However，itincreasestheX-raymorefrequency，and

7、highCOStin4湖北中医学院硕士学位论文hospital．thatwouldhinderLISSbladeplatetobepopularinclinic．[eyWordsLessinvasivestabilizationsystem(LISS)：Tibialfractures；Fracturefixatioff，intemal；TreatmentOHtcome5湖北中医学院硕士学位论文微创LISS接骨板治疗胫骨近端干骺端粉碎性骨折前言胫骨近端骨折往往是高能量损伤的结果，常伴有严重的软组织损伤。骨折常常累及干骺端，骨干，

8、甚至胫骨平台的严重粉碎性骨折。因其骨折常常为粉碎性、不稳定，且邻近膝关节，非手术治疗，包括手法整复，牵引．石膏或夹板固定加上早期的功能锻炼仍是治疗胫骨平台骨折的重要手段，但其能适宜的病例非常有限．无论骨折是否损伤关节面，为了使骨折得到有效的复位与固定，以便早期功能锻炼，临床上