LISS locking plate and common plate in the repair of intra-articular proximal tibial fractures: choice of optimal implant

doi:10.3969/j.issn.2095-4344.2015.35.018

Abstract

Abstract:

BACKGROUND: The proximal tibial fractures within joint are a common type of fracture, and clinical treatment is difficult. The implant internal fixation is a commonly used method of treatment. However, the choice of the optimal implant internal fixation is always the key problem in clinical research.
OBJECTIVE: To explore the curative effect of different implant internal fixation for the treatment of intra-articular proximal tibial fractures and to obtain the better treatment through the comparative analysis.
METHODS: A total of 32 patients of intra-articular proximal tibial fracture, who were treated with different implant internal fixation for the treatment of proximal tibia, were selected from the Department of Orthopedics, People’s Hospital of Zezhou County of Jincheng City and Second Affiliated Hospital of Shanxi Medical University from September 2010 to September 2013. These patients were divided into two groups according to fixation methods (n=16). Observation and control groups received LISS locking plate and common plate, respectively. The amount of bleeding, operation time and incision length were observed in both groups. Patients were followed up for 1 to 12 months after treatment so as to record fracture healing time, full weight bearing time and excellent and good rate and to observe the incidence of complications, including joint stiffness, loosening, nonunion and infection.
RESULTS AND CONCLUSION: Incision length and operation time in the observation group were significantly shorter than that in the control group, and the amount of bleeding was significantly lower in the observation group than that of control group (all P < 0.05). The healing of fracture and the full weight bearing time were significantly shorter in the observation group than that in the control group (both P < 0.05). The incidence of complications was significantly lower in the observation group (13%) than in the control group (46%; P < 0.05). The total excellent and good rate of repair was significantly higher in the observation group than in the control group (94%, 69%, P < 0.05). These results confirm that compared with the traditional plate fixation, internal fixation with LISS locking plate for treating intra-articular proximal tibial fractures can get better therapeutic effects, greatly reduces the injuries to soft tissue and fracture blood supply, promotes fracture healing and restores joint stability.

中国组织工程研究杂志出版内容重点：人工关节；骨植入物；脊柱；骨折；内固定；数字化骨科；组织工程

Key words: Tibial Fractures, Internal Fixators, Fracture Healing, Postoperative Complications

CLC Number:

R318

Du Yu-xi, Liu Nian-xi, Niu Zhi-hui, Liu Zhuo. LISS locking plate and common plate in the repair of intra-articular proximal tibial fractures: choice of optimal implant [J]. Chinese Journal of Tissue Engineering Research, 2015, 19(35): 5669-5673.

Figures/Tables 5

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