关节镜下经皮与开放性锁定钢板内固定术治疗胫骨平台骨折的临床对比研究  

Clinical comparative research of arthroscopic percutaneous and open locking plate internal fixation in treatment of tibial plateau fracture

作　　者：谢文生[1,2] 林影[1,2] 陈荣汉 

机构地区：[1]福建省三明市第二医院 [2]福建中医药大学第五临床医学院骨科,福建三明366000

出　　处：《中国当代医药》2015年第25期67-69,72,共4页China Modern Medicine

摘　　要：目的探讨关节镜下经皮与开放性锁定钢板内固定术治疗胫骨平台骨折的临床效果。方法选取本院2011年10月~2014年12月诊治的胫骨平台骨折患者112例,采用随机数字表法分为两组,56例患者采用开放性锁定钢板内固定术治疗为对照组,56例患者采用关节镜下经皮锁定钢板内固定术治疗为观察组,比较两组的治疗效果。结果观察组患者的手术时间、术后住院时间、下地负重时间、骨折愈合时间均明显短于对照组,术中出血量明显少于对照组,切口长度明显小于对照组,优良率、Rusmussen评分均明显高于对照组,并发症发生率明显低于对照组（P〈0.05）。结论关节镜下经皮与开放性锁定钢板内固定术均是治疗胫骨平台骨折的有效方法,其中关节镜下经皮锁定钢板内固定术的创伤小,效果显著,安全性高。Objective To investigate clinical effect of arthroscopic percutaneous and open locking plate internal fixation in treatment of tibial plateau fracture. Methods 112 patients with tibial plateau fracture diagnosed and treated in our hospital were selected from October 2011 to December 2014 and they were randomly divided into two groups according to the random number table method.56 patients treated open locking plate internal fixation were selected as control group,while 56 patients treated arthroscopic percutaneous locking plate internal fixation were selected as observation group.Treatment effect was compared between two groups. Results Operation time,postoperative hospitalization time,load time,fracture healing time in patients of observation group was significantly shorter than that of control group respectively,intraoperative bleeding volume was significantly less than that of control group,cut length was significantly smaller than that of control group and excellent and good rate and Rusmussen score was significantly higher than that of control group,and the incidence rate of complication was significantly lower than that of control group（P〈0.05）. Conclusion Arthroscopic percutaneous and open locking plate internal fixation are effective methods in treatment of tibial plateau fracture. Arthroscopic percutaneous locking plate internal fixation has less trauma,which has notable efficacy and high safety.

关 键 词：关节镜 经皮锁定钢板内固定术 开放性锁定钢板内固定术 胫骨平台骨折 

分 类 号：R683.42[医药卫生—骨科学]