关节镜辅助下微创治疗胫骨平台骨折  

Arthroscopy assisted minimally invasive therapy in the treatment of tibial plateau fractures

作　　者：江涛[1] 高飞[1] 王怀波[1] 徐江发[1] 

机构地区：[1]淮南东方医院集团总医院安徽理工大学附属医院骨科, 安徽省淮南232001

出　　处：《中国基层医药》2014年第15期2299-2300,共2页Chinese Journal of Primary Medicine and Pharmacy

摘　　要：目的：探讨在关节镜辅助下对胫骨平台骨折进行微创治疗的手术方法及临床疗效。方法关节镜监视下对32例胫骨平台骨折患者（ Schatzker Ⅰ～Ⅳ型）进行复位固定。结果32例均获得随访，时间4～39个月。术后3～6个月骨折均完全愈合，未出现关节内感染、骨筋膜室综合征、关节强直等并发征。术后9个月关节功能按HSS评分：优25例，良7例。结论在关节镜辅助下对胫骨平台骨折进行复位和微创钢板接骨术损伤小，复位固定确切，有利于膝关节功能早期恢复，疗效满意。Objective To explore the surgical method and effect of arthroscopy assisted minimally invasive therapy in the treatment of tibial plateau fractures .Methods Under arthroscopy surveillance ,32 patients with tibial plateau fracture （ Schatzker Ⅰ-Ⅳ） were taken reduction and fixation .Results All cases were followed up for 4-39 months .All fractures were unitied 3-6 months after operation ,and no joint infection compartment syndrome or ankylo-sis occurred.The results were excellent in 25 patients,good in 7 cases according to the HSS evaluating system 9 months after operation .Conclusion For tibial plateau fractures under arthroscopy assisted reduction and minimally invasive plate osteosynthesis has little injury ,exact reset fixation ,early recovery of the knee joint function ,the curative effect is satisfied .

关 键 词：关节镜 胫骨骨折 外科手术 微创性 骨折固定术 内 

分 类 号：R687.3[医药卫生—骨科学]