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学科主题: 临床医学
题名:
Less Invasive Stabilization System (LISS) Versus Proximal Femoral Nail Anti-rotation (PFNA) in Treating Proximal Femoral Fractures: A Prospective Randomized Study
作者: Zhou, Fang; Zhang, Zhi Shan; Yang, Huan; Tian, Yun; Ji, Hong Quan; Guo, Yan; Lv, Yang
关键词: proximal femoral fractures ; LISS ; PFNA ; minimally invasive surgery
刊名: JOURNAL OF ORTHOPAEDIC TRAUMA
发表日期: 2012-03-01
DOI: 10.1097/BOT.0b013e318225f793
卷: 26, 期:3, 页:155-162
收录类别: SCI
文章类型: Article
WOS标题词: Science & Technology
类目[WOS]: Orthopedics ; Sport Sciences
研究领域[WOS]: Orthopedics ; Sport Sciences
关键词[WOS]: DYNAMIC CONDYLAR SCREW ; DISTAL FEMUR FRACTURES ; GAMMA-NAIL ; HIP SCREW ; SUBTROCHANTERIC FRACTURES ; BIOMECHANICAL EVALUATION ; TROCHANTERIC FRACTURES ; INTERNAL-FIXATION ; COMPLICATIONS ; OSTEOPOROSIS
英文摘要:

Objective: To evaluate the outcome and efficacy of LISS (Less Invasive Stabilization System; Synthes USA, Paoli, PA) for the treatment of proximal femoral fractures to find another appropriate minimally invasive surgery for these fractures in which intramedullary nailing may be difficult.

Design: A consecutive prospective randomized clinical study.

Setting: University teaching hospital.

Patients: Between May 2006 and March 2008, 64 consecutive patients who had a proximal femoral fracture were randomized to be treated with fixation with either LISS or PFNA (Proximal Femoral Nail Anti-rotation; Synthes USA).

Intervention: LISS or PFNA fixation of proximal femoral fractures.

Main Outcome Measurements: Intraoperative time, intraoperative blood loss, length of hospitalization, hip function (Harris score), general complications, fracture complications.

Results: Fifty-nine patients were evaluated with a mean follow-up time of 26.8 months (range, 21-36 months). No statistical differences in general complications, intraoperative blood loss, length of hospitalization, or hip function could be found between the two groups. The average operative time was longer in the LISS group (98.25 minutes) compared with the PFNA group (65.36 minutes) (P < 0.05). One PFNA case had intrapelvic penetration of the helical blade; two LISS cases had breakage of the screws.

Conclusion: There were no major differences in outcome or complications between the treatment groups. LISS can be used effectively in treating proximal femoral fractures, especially for complex fractures patterns in which intramedullary nailing may be difficult.

语种: 英语
WOS记录号: WOS:000300605400008
Citation statistics:
内容类型: 期刊论文
URI标识: http://ir.bjmu.edu.cn/handle/400002259/60527
Appears in Collections:北京大学第三临床医学院_期刊论文

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作者单位: Peking Univ, Hosp 3, Orthoped Trauma Serv, Trauma Div,Orthoped Dept, Beijing 100191, Peoples R China

Recommended Citation:
Zhou, Fang,Zhang, Zhi Shan,Yang, Huan,et al. Less Invasive Stabilization System (LISS) Versus Proximal Femoral Nail Anti-rotation (PFNA) in Treating Proximal Femoral Fractures: A Prospective Randomized Study[J]. JOURNAL OF ORTHOPAEDIC TRAUMA,2012,26(3):155-162.
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