关节镜下治疗胫骨平台骨折的体会  

Experience of treating tibial plateau fractures by arthroscopy

作　　者：翟云雷[1] 于海洋[1] 崔西龙[1] 黄徐兵[1] 李超[1] 

机构地区：[1]阜阳市人民医院骨科脊柱创伤病区,安徽阜阳236004

出　　处：《临床骨科杂志》2013年第4期433-434,共2页Journal of Clinical Orthopaedics

摘　　要：目的探讨关节镜下胫骨平台骨折复位、钢板内固定治疗胫骨平台骨折的临床疗效。方法 27例胫骨平台骨折患者在关节镜下进行骨折复位内固定术。结果术后无切口愈合不良、感染、骨筋膜间室综合征等早期并发症发生。患者均获随访,时间12～39个月。骨折愈合时间3～4.5个月。随访期内无内固定物失效、创伤性关节炎和膝内、外翻畸形发生。采用Lysholm评分标准评价临床疗效:优21例,良4例,可2例。结论关节镜下治疗胫骨平台骨折,损伤小,操作安全,复位固定满意,能一期准确判断关节内结构的损伤并予修复,术后功能恢复快。Objective To invesitage the clinical effect of arthroscopically assisted internal fixation for tibial plateau fractures. Methods 27 patients were treated with arthroscopically assisted internal fixation for tibial plateau frac- tures. Results All incisions were healed without early complications of infection or compartment syndrome. All pa- tients were followed up for 12 -39 months. All patients got fracture healed in 3 -4. 5 months postoperativly, with no internal fixation failure, traumatic arthritis or knee deformity. At the most recent follow-up, according to Lysholm score, the results were excellent in 21 cases, good in 4, and fair in 2. Conclusions Arthroscopically assisted internal fixation has good results for tibial plateau fractures with fewer disturbances to the knee, with safe, satisfied fixation. The injury of intra-articular structures can be found and repaired.

关 键 词：关节镜检查 胫骨平台骨折 骨折固定术 内 

分 类 号：R683.42[医药卫生—骨科学] R684.7[医药卫生—外科学]