关节镜监视下骨折撬拨复位＋植骨＋锁定钢板内固定治疗胫骨平台骨折的临床观察  

Clinical observation of tibial plateau fracture treated with open reduction and bone graft plus locking plate fixation under arthroscope

作　　者：全守尧 林浙龙 

机构地区：[1]广东省中山市港口医院骨科,广东中山528447

出　　处：《中国伤残医学》2017年第22期1-2,共2页Chinese Journal of Trauma and Disability Medicine

摘　　要：目的：研究关节镜监视下的骨折撬拨复位＋植骨＋锁定钢板内固定疗法治疗胫骨平台骨折的效果.方法：于2015年10月-2017年2月在我院就诊的胫骨平台骨折患者中选出13例,根据手术方法不同分组,对照组患者实施传统的切开复位＋植骨＋锁定钢板内固定术;观察组患者给予关节镜监视下撬拨复位＋植骨＋锁定钢板内固定术.结果：观察组患者的切口长度明显更短,且术中出血量少,P〈0.01;观察组患者的手术时间与对照组之间差异不明显,P〉0.05;观察组患者术后并发症发生率2.86%,低于对照组的9.29%,P〈0.05;观察组患者的骨折愈合时间更短,术后12个月的膝关节功能HSS评分比对照组高,P〈0.05.结论：关节镜监视下的骨折撬拨复位联合植骨、锁定钢板内固定术治疗胫骨平台骨折,利于患者骨折的愈合,最大程度减轻手术创伤,值得推广.Objective：To investigate the effect of open reduction and bone graft plus locking plate fixation under arthroscope in the treatment of tibial plateau fractures, nethods：13 patients with tibial plateau fractures were treated in our hospital on October 2015, February -2017. They were divided into groups according to different operative methods. The control group was treated with conventional open reduction ＋ bone graft ＋ locking plate fixation：The patients in the observation group received arthrescopic reduction, bone graft and locking plate fixation. Results：The length of incision in the observation group was significantly shorter, and the amount of bleeding during operation was less, P 〈 0.01 ; The operation time of the observation group was not significantly different from that of the control group, P 〉 0.05 ; The incidence of postoperative complications in the observation group was 2.86%, which was lower than 9.29% in the control group, and P 〈 0.05; The fracture healing time of the observation group was shorter, and the knee function HSS score of the 12 months after operation was higher than that of the control group, P 〈 0.05. Conclusion： The treatment of tibial plateau fracture with the reduction of fracture by prying reduction combined with bone graft and locking plate fixation under arthroscope monitoring was beneficial to the healing of fracture and the maximum reduction of surgical trauma. It should be worth popularizing.

关 键 词：关节镜 顶棒复位 切开复位 锁定钢板 胫骨平台骨折 

分 类 号：R684[医药卫生—骨科学]