复杂胫骨平台骨折关节镜辅助下微创手术治疗  

Minimally invasive surgical treatment of complex tibial plateau fractures under arthroscope

作　　者：郭仰丹[1] 林涌生[1] 郑宁[1] 黄武斌[1] 李扬[1] 陈松亮[1] 林志斌[1] 

机构地区：[1]广东省揭阳市人民医院骨外一科,广东揭阳522000

出　　处：《中国医药科学》2017年第6期162-164,共3页China Medicine And Pharmacy

基　　金：广东省揭阳市医学科学技术研究立项项目(201520)

摘　　要：目的研究关节镜辅助下微创手术治疗复杂胫骨平台骨折的临床疗效。方法将2015年6月~2016年6月在我院接受治疗的60例复杂胫骨平台骨折患者随机分为两组,对照组30位患者采用传统的切开复位内固定治疗,观察组30位患者实施关节镜辅助下微创手术治疗。结果观察组患者治疗优良率(93.33%)显著优于对照组(66.67%)。观察组患者术中出血量、手术时间、住院时间及骨折愈合时间显著短于对照组,观察组患者VAS评分显著低于对照组,HSS评分及屈伸活动度显著高于对照组。结论关节镜辅助下微创手术治疗可显著提高患者临床治疗优良率,缩短患者手术时间、住院时间及骨折愈合时间,降低术中出血量及疼痛感,术后关节功能恢复与活动度恢复情况理想。Objective To study the clinical curative effect of minimally invasive surgical treatment of complex tibial plateau fractures under arthroscope. Methods 60 cases of complex tibial plateau fractures cured in our hospital from June 2015 to June 2016 were selected and randomly divided into two groups.30 cases in control group were treated with traditional open reduction and internal fixation,and 30 cases in observation group were treated with arthroscopic assisted minimally invasive surgery. Results The excellent and good rate of the observation group （93.33%） was significantly better than that of the control group （66.67%）.The amount of bleeding,operation time,hospitalization time and fracture healing time in observation group were significantly shorter than those in the control group.The VAS score of the observation group was significantly lower than that of the control group,the HSS score and the flexion and extension activity of the observation group were significantly higher than those of the control group. Conclusion Arthroscopic assisted minimally invasive surgery can significantly improve the clinical treatment of patients with excellent rate,shorten the operation time, hospitalization time and fracture healing time,and reduce intraoperative blood loss and pain.The recovery of joint function and the recovery of activity are satisfactory.

关 键 词：复杂胫骨平台骨折 关节镜 微创手术 切开复位内固定 

分 类 号：R683.4[医药卫生—骨科学]