Therapeutic effect comparation between less invasive stabilization system plate and anatomical plate internal fixation for the treatment of tibial plateau fractures
10.3760/cma.j.jssn.1673-4904.2016.12.014
- VernacularTitle:微创内固定系统钢板与解剖钢板内固定治疗胫骨平台骨折的疗效比较
- Author:
Xiangjun FAN
;
Yiyin HAN
;
Fuchao SUN
;
Nan ZHU
- Keywords:
Tibial fractures;
Surgical procedures,minimally invasive;
Internal fixators;
Retrospective studies
- From:
Chinese Journal of Postgraduates of Medicine
2016;39(12):1105-1108
- CountryChina
- Language:Chinese
-
Abstract:
Objective To observe the therapeutic effect between less invasive stabilization system (LISS) plate and anatomical plate internal fixation for the treatment of tibial plateau fractures. Methods The clinical data of 58 patients with tibial plateau fractures were retrospectively analyzed. The patients were divided into LISS plate group and anatomical plate group according to the internal fixation method with 29 cases each. The operative time, blood loss, incision length, fracture healing time, postoperative weight-bearing time, postoperative complications and therapeutic effect (according to Rasmussen knee joint function score scale) were compared between 2 groups. Results The operative time, incision length, blood loss and incidence of postoperative complications in LISS plate group were significantly lower than those in anatomical plate group:(68.5 ± 7.1) min vs. (92.3 ± 9.4) min, (5.8 ± 1.4) cm vs. (8.6 ± 2.1) cm, (208.5 ± 27.8) ml vs. (329.7 ± 25.2) ml and 17.2%(5/29) vs. 41.4%(12/29), and the excellent rate was significantly higher than that in anatomical plate group: 86.2% 25/29) vs. 62.1%(18/29), and there were statistical differences (P<0.05);there were no statistical differences in fracture healing time and postoperative weight-bearing time between 2 groups (P>0.05). Conclusions Both of LISS plate and anatomical plate internal fixation for the treatment of tibial plateau fractures have good clinical efficacy, but the LISS plate has advantages of shorter operation time, less tissue trauma, less blood loss, quicker fracture healing and less postoperative adverse reaction.
