中国组织工程研究 ›› 2011, Vol. 15 ›› Issue (30): 5565-5568.doi: 10.3969/j.issn.1673-8225.2011.30.014

• 骨科植入物 orthopedic implant • 上一篇    下一篇

LISS钢板加同种异体骨移植治疗股骨远端骨折

卫永鲲1,马慧玲2,刘丰虎1,杨  磊1,于  洋1,尹  伟1   

  1. 1陕西省汉中市3201医院骨科,陕西省汉中市  723000
    2陕西省汉中职业技术学院,陕西省汉中市  723000
  • 收稿日期:2011-03-15 修回日期:2011-05-22 出版日期:2011-07-23 发布日期:2011-07-23
  • 作者简介:卫永鲲☆,男,1972年生,甘肃省武威市古浪县人,博士,主治医师,主要从事脊柱关节及创伤研究。 weiyongkun2005@sina.com

Less Invasive Stabilisation System plating and bone allograft for distal femoral fractures

Wei Yong-kun1, Ma Hui-ling2, Liu Feng-hu1, Yang Lei1, Yu Yang1, Yin Wei1   

  1. 1Department of Orthopedics, the 3201 Hospital of Hanzhong City, Hanzhong  723000, Shaanxi Province, China
    2Hanzhong Vocational and Technical College, Hanzhong  723000, Shaanxi Province, China
  • Received:2011-03-15 Revised:2011-05-22 Online:2011-07-23 Published:2011-07-23
  • About author:Wei Yong-kun☆, Doctor, Attending physician, Department of Orthopedics, the 3201 Hospital of Hanzhong City, Hanzhong 723000, Shaanxi Province, China weiyongkun2005@sina.com

摘要:

背景:LISS钢板可在微创下固定骨折,减少血供的破坏,LISS钢板与同种异体骨同时应用可提高骨折的愈合率。
目的:观察LISS钢板加同种异体骨移植治疗股骨远端骨折的疗效。
方法:2009/2010采用LISS钢板加同种异体骨移植治疗股骨远端粉碎骨折73例进行修复重建。男47例,女26例,年龄32~76岁。交通事故61例,高处坠落9例,其他3例。闭合性损伤57例,开放性损伤16例。根据AO分型,A型19例,B型13例,C型41例。
结果与结论:根据Kolment膝关节功能评定标准判定,优27例,良39例,差4例(1例为尿毒症患者),优良率为90.4%。结果显示LISS钢板加同种异体骨移植治疗股骨髁骨折效果满意。

关键词: 股骨远端粉碎骨折, 同种异体, 骨移植, LISS钢板, 植入物

Abstract:

BACKGROUND: Less Invasive Stabilisation System (LISS) plate can fix fractures microinvasively, reduce damage to the blood supply. LISS plate combined with bone allograft can improve the healing rate of fractures.
OBJECTIVE: To observe the effects of LISS locking plate fixation and bone allograft on distal femur fractures.
METHODS: Seventy-three patients received LISS locking plate fixation and bone allograft for treatment of comminuted fracture of the distal femur from 2009 to 2010, including 47 males and 26 females, aged 32-76 years. Sixty-one cases suffered from traffic accident, 9 suffered from falls, and 3 suffered from other reasons. There were 57 cases of blunt injury and 16 of open injury. According to AO typing, there were 19 of type A, 13 of type B, and 41 of type C.
RESULTS AND CONCLUSION: Based on the Kolment evaluation standards, the effects were excellent in 27 cases, good in 39 cases, and poor in 4 cases. The excellent and good rate was 90.4%. The LISS locking plate fixation plus bone allograft is good for treatment of distal femur fractures.

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