Fankhauser Florian, Gruber Gerald, Schippinger Gert, Boldin Christian, Hofer Herwig P, Grechenig Wolfgang, Szyszkowitz Rudolf
Department for Traumatology, Medical School of Graz, Austria.
Acta Orthop Scand. 2004 Feb;75(1):56-60. doi: 10.1080/00016470410001708110.
There is no consensus on the best treatment of distal femoral fractures.
In a prospective study, we treated 29 patients with 30 distal femoral fractures with the Less Invasive Stabilization System (LISS) from 1997 to 2000. Almost 1/2 of them had open fractures, 1/3 extraarticular type A and 2/3 articular fractures type C (AO classification) and these had been caused by high-energy trauma with concomitant severe injuries or osteoporosis.
The follow-up examinations after mean 20 (13-42) months consisted of radiographs, and determination of the Lysholm Knee Score and Knee Society Score (KSS). The outcome correlated with the severity of the fracture, anatomic reduction, exact positioning and fixation of the LISS and concomitant injuries.
We found the LISS for treatment of distal femoral fractures of all types to be a safe procedure with good results after careful planning and experience with this surgical technique. There is usually no need for primary cancellous bone grafting.
对于股骨远端骨折的最佳治疗方法尚无共识。
在一项前瞻性研究中，1997年至2000年期间，我们使用微创稳定系统（LISS）治疗了29例患者的30例股骨远端骨折。其中近一半为开放性骨折，三分之一为关节外A型骨折，三分之二为关节内C型骨折（AO分类），这些骨折由高能创伤伴严重损伤或骨质疏松引起。
平均20（13 - 42）个月后的随访检查包括X线片、Lysholm膝关节评分和膝关节协会评分（KSS）测定。结果与骨折严重程度、解剖复位、LISS的精确定位和固定以及伴随损伤相关。
我们发现，对于所有类型的股骨远端骨折，在仔细规划并具备该手术技术经验后，使用LISS进行治疗是一种安全的方法，效果良好。通常无需一期松质骨植骨。
