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首页> 外文期刊>The Knee >A comparative study of Less Invasive Stabilization System (LISS) fixation and two-incision double plating for the treatment of bicondylar tibial plateau fractures.
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A comparative study of Less Invasive Stabilization System (LISS) fixation and two-incision double plating for the treatment of bicondylar tibial plateau fractures.

机译：少创稳定系统（LISS）固定和双切口双钢板治疗双con胫骨平台骨折的比较研究。

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摘要

The present investigation is a prospective study comparing the use of locked plates and classic double plates for the repair of bicondylar tibial plateau fractures. Eighty-four patients with bicondylar tibial plateau fractures were treated with plate fixation by either a locked plate (Less Invasive Stabilization System, LISS) or classic double plates (DP). All patients were followed for a minimum of 24 months. Outcomes were assessed by recording the surgical experience with each approach, post-operative complications and improvements in knee function as measured by the Hospital for Special Surgery (HSS) score. For all patients, no differences in the mechanisms of injury, fracture type, open fracture grade, mean age, gender distribution, associated medical conditions, pre-surgical stay, surgical time, bony union rate or radiographic healing times were observed between the two groups. Also, the HSS score and incidences of infection, seroma, hematoma, deep venous thrombosis, loss of reduction, loss of alignment, hardware failure and overall post-operative complications were all similar in both groups (P>0.05). Wound size and blood loss were significantly less in the LISS group than in the DP group (both P<0.05). A significantly higher incidence of post-operative malalignment of the proximal tibia (P=0.041) and a trend toward significance of a higher incidence of symptomatic hardware irritation (P=0.057) were observed in the LISS group compared to the DP group. In conclusion, LISS provides an alternative treatment for bicondylar tibial plateau fractures, but it may not replace the conventional two-incision double plating technique as the standard of care.
机译：本研究是一项前瞻性研究，比较了锁定钢板和经典双钢板在修复双con胫骨平台骨折中的应用。通过锁定钢板（Less Invasive Stabilization System，LISS）或经典双钢板（DP）钢板固定术治疗84例胫骨双con突骨折患者。所有患者至少随访24个月。通过记录每种方法的手术经验，术后并发症和膝关节功能的改善来评估结局，如特殊手术医院（HSS）评分所衡量。对于所有患者，两组之间在损伤机制，骨折类型，开放性骨折等级，平均年龄，性别分布，相关的医疗状况，术前住院时间，手术时间，骨结合率或影像学愈合时间方面均无差异。另外，两组的HSS评分和感染，血清肿，血肿，深静脉血栓形成，复位降低，对准丢失，硬件衰竭和术后并发症的发生率均相似（P> 0.05）。 LISS组的伤口大小和失血量明显少于DP组（均P <0.05）。与DP组相比，在LISS组中观察到胫骨近端畸形的发生率显着更高（P = 0.041），并且症状性硬件刺激的发生率也具有显着趋势（P = 0.057）。总之，LISS为双con胫骨平台骨折提供了一种替代治疗方法，但它可能无法代替传统的两切口双钢板技术作为护理标准。

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