微創(chuàng)liss接骨板治療脛骨近端干骺端粉碎性骨折

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1、湖北中醫(yī)學院碩士學位論文cases，acceptablein5cases，andpoorin1cases．sothegood—excellentratein81．3％．a(chǎn)fteroperationaboutthepaintstatusoftheinjured—knee．thereisnoobviousdifferencesresultes(P>0．05)．comparingaboutthekneeactivitiesscope，Lisbladeplatefixedsetsisexcellentin16cases，goodin5

2、cases，acceptablein2cases，andpoorin1case．sothegood—excellentratein87．5％：ordinarysteelplatesisexcellentin16cases，goodin9cases，acceptablein5cases，andpoorin2cases．sothegood—CXCCl1entratein78．1％．Thus．a(chǎn)fterstatistics，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湖北中醫(yī)學院碩士學位論文hospital．thatwouldhinderLISSbladeplatetobepopularinclinic．[eyWordsLessinvasivestabilizationsystem(LISS)：Tibialfractures；Fracturefixatioff，intemal；TreatmentOHtcome5湖北中醫(yī)學院碩士學位論文微創(chuàng)LISS接骨板治療脛骨近端干骺端粉碎性骨折前言脛骨近端骨折往往是高能量損傷的結(jié)果，常伴有嚴重的軟組織損傷。骨折常常累及干骺端，骨干，

8、甚至脛骨平臺的嚴重粉碎性骨折。因其骨折常常為粉碎性、不穩(wěn)定，且鄰近膝關(guān)節(jié)，非手術(shù)治療，包括手法整復，牽引．石膏或夾板固定加上早期的功能鍛煉仍是治療脛骨平臺骨折的重要手段，但其能適宜的病例非常有限．無論骨折是否損傷關(guān)節(jié)面，為了使骨折得到有效的復位與固定，以便早期功能鍛煉，臨床上