Cole P A, Zlowodzki M, Kregor P J
University of Minnesota, Department of Orthopedic Surgery, Regions Hospital, Minnesota, St Paul 55127, USA.
Injury. 2003 Aug;34 Suppl 1:A16-29. doi: 10.1016/s0020-1383(03)00254-7.
The surgical treatment of proximal tibia fractures, with or without intraarticular involvement, is associated with well-described patterns of failure and significant complication rates. Recent surgical advances allow for a minimally invasive approach to such injuries, which may improve healing times, increase union rates, and decrease complication rates. The Less Invasive Stabilization System (LISS) for proximal tibia fractures employs a laterally based fixed angled implant, allowing for the placement of locking screws proximal and distal to the fracture, which may be placed percutaneously. This manuscript presents the surgical technique and indications of the Tibia LISS. A preview of the early clinical results of the treatment of bicondylar tibial plateau fractures and proximal tibia diaphysis will also be presented.
无论是否累及关节,胫骨近端骨折的手术治疗都伴随着已被充分描述的失败模式和显著的并发症发生率。近期的手术进展使得对此类损伤可采用微创方法,这可能会缩短愈合时间、提高愈合率并降低并发症发生率。用于胫骨近端骨折的微创稳定系统(LISS)采用外侧固定角度植入物,允许在骨折近端和远端置入锁定螺钉,这些螺钉可经皮置入。本文介绍了胫骨LISS的手术技术和适应证。还将展示双髁胫骨平台骨折和胫骨近端骨干治疗的早期临床结果预览。