伍正根

[摘要] 目的 探讨与分析LISS钢板治疗股骨髁间和髁上骨折的方法和疗效。 方法 方便选取2014年7月—2017年7月在该院收治的股骨髁间和髁上骨折患者（60例）进行研究，所有患者均进行LISS钢板治疗，总结治疗效果和预后。 结果 该研究60例患者手术总优良率是96.67%。对患者进行为期两年的随访，随访期间未发现钢板断裂、感染、螺钉松动、螺钉断裂等情况。术后，患者功能锻炼时间均在3周以内，平均为（1.84±0.42）周。60例患者的膝关节功能总优良率是96.67%。在60例患者中，有58例患者骨性愈合，骨折愈合时间在4～9个月之间，平均为（5.12±1.02）月。2例患者经二次自体髂骨植骨后骨性愈合。10例患者发生膝外翻或者膝内翻，5例患者发生下肢外旋畸形（<15°），对行走不产生影响，7例患者的患肢比健侧短2 cm左右。结论 在股骨踝间骨折、踝上骨折患者中，LISS钢板治疗的效果确切，可明显改善患者的膝关节功能，且术后并发症发生率低。

[关键词] LISS钢板;股骨髁间;髁上骨折;疗效

[Abstract] Objective To explore and analyze the method and efficacy of LISS plate for treatment of femoral intercondylar and supracondylar fractures. Methods A total of 60 patients with femoral intercondylar and supracondylar fractures treated in the hospital from July 2014 to July 2017 were convenient selected for study. All patients were treated with LISS plate to summarize the treatment effect and prognosis. Results The total excellent and good rate of surgery in the 60 patients in this study was 96.67%. Patients were followed for a two-year period. No plate breakage， infection， screw loosening， screw breakage， etc. were found during the follow-up. After the operation， the functional exercise time of the patients was within three weeks， with an average of （1.84±0.42） weeks. The total excellent and good rate of knee function in 60 patients was 96.67%. Among the 60 patients， 58 patients had bony healing， and the fracture healing time was between 4-9 months， with an average of （5.12±1.02） months. 2 patients had bony healing after a second autologous iliac bone graft. 10 patients had valgus or varus knees， and 5 patients had lower limb external rotation deformities （<15 °）， which had no effect on walking. 7 patients had affected limbs about 2 cm shorter than the uninvolved side. Conclusion In patients with femoral ankle fractures and supraankle fractures， the effect of LISS plate treatment is definite， which can significantly improve the knee function of patients， and the incidence of postoperative complications is low.

[Key words] LISS plate; Femoral intercondylar; Supracondylar fracture; Curative effect

近年來，随着我国经济水平的提高，人们的出行方式发生了很大地改变，在交通工具给我们带来便利的同时，也增加了股骨髁间和髁上骨折发生的概率[1]。股骨髁间和髁上骨折主要的临床表现为骨折处局部肿胀疼痛、骨折远端侧向移位、膝端畸形、膝关节功能障碍等。如果不及时治疗，不仅会加重膝关节功能的障碍，还会导致创伤性关节炎，严重危害患者的身体健康[2]。该文方便选取2014年7月—2017年7月在该院收治的股骨髁间和髁上骨折患者（60例）进行研究，探讨与分析LISS钢板治疗股骨髁间和髁上骨折的方法和疗效。现报道如下。

1  资料与方法

1.1  一般资料

方便选取该院收治的股骨髁间和髁上骨折患者（60例）进行研究，36例是男性，24例……