关节镜辅助下Schatzker胫骨平台骨折合并OCD的手术治疗  

MINIMALLY INVASIVE SURGICAL TREATMENT OF THE ARTHROCOPIC TECHNIQUE IN SCHATZKERTIBIAL PLATEAU FRACTURES AND OCD

作　　者：曾淳[1] 温志勋[1] 郭建恩[1] 王庆祥[1] 

机构地区：[1]东莞市人民医院,广东东莞523000

出　　处：《现代医院》2013年第7期39-41,共3页Modern Hospitals

基　　金：东莞市医学科研究项目(编号:201110515001096)

摘　　要：目的探讨关节镜辅助下治疗胫骨平台骨折应用微创手术治疗的方法和临床疗效。方法自2011年1月～2013年2月在关节镜监视下应用微创技术治疗SchatzkerⅠ～Ⅲ45例胫骨平台骨折(其中包括20例Ⅰ型、19例Ⅱ型、6例Ⅲ型胫骨平台骨折)。结果本研究平均随访12～13个月,骨折完全愈合,用Lysholm评分标准评定膝关节功能,统计得到91.5%的患者活动优良水平的治疗效果。结论针对SchatzkerⅠ～Ⅲ型胫骨平台骨折,在关节镜辅助治疗以后可以使关节内复位更加精准,术中对复位判断更为准确,降低术后畸形愈合率,能明显提高该类患者的治愈率。Objective To investigate clinical results of the arthrocopic technique in the treatment of tibial plateau fractures.Methods From January 2011 to February 2013,45 cases of the tibial plateau fracture were treated with arthroscopic-assisted percutaneous screw or plate fixation(consisting of 20 cases of type Ⅰ,19 of type Ⅱ,6 of type Ⅲ,according to Schatzker classification).Results With follow up visits for 12 ～ 13 months,all cases were healed.The rate of excellent and good results was 91.5% according to Lysholm assessment criterion.Conclusion assisted operative management can help to reduce reduction loss from intra articular more precisely to reach a higher union rate.It is also a preferable method for low energy tibial plateau fracutures treatment(SchatzkerⅠ、Ⅱ、Ⅲ).

关 键 词：关节镜 胫骨平台骨折 微创 剥脱性骨软骨炎 

分 类 号：R683.42[医药卫生—骨科学]