关节镜联合C型臂X线机治疗胫骨平台骨折的疗效  

Effect of Arthroscopy Combined with C-arm X-ray Machine on Tibial Plateau Fracture

作　　者：孔丹辉[1] 陈金亮[1] 夏炎[1] 成欣[1] 郑鸿鸣[1] KONG Danhui;CHEN Jinliang;XIA Yan;CHENG Xin;ZHENG Hongming(Department of Orthopaedics,Danyang People's Hospital,Danyang,Jiangsu Province,212300 China)

机构地区：[1]丹阳市人民医院骨科,江苏丹阳212300

出　　处：《世界复合医学》2024年第2期183-186,共4页World Journal of Complex Medicine

摘　　要：目的探讨关节镜联合C型臂X线机治疗胫骨平台骨折的效果。方法方便选择2017年1月—2022年12月丹阳市人民医院收治的78例胫骨平台骨折患者为研究对象,以随机双盲法分为两组,每组39例。对照组行常规切开复位内固定术,观察组行关节镜联合C型臂X线机微创内固定术,对两组手术疗效、手术指标、膝关节功能恢复与并发症发生情况进行分析比较。结果观察组手术优良率(97.44%)明显高于对照组(82.05%),差异有统计学意义(χ^(2)=5.014,P<0.05);观察组手术治疗相关指标优于对照组,差异有统计学意义(P均<0.05)。术后6个月两组患者Lysholm、纽约特种外科医院(Hospital for Special Surgery,HSS)评分均升高,且观察组Lysholm、HSS评分明显高于对照组,差异有统计学意义(P均<0.05)。观察组术后并发症总发生率低于对照组,差异有统计学意义(P均<0.05)。结论胫骨平台骨折患者采用关节镜联合C型臂X线机治疗的疗效确切,患者创伤小、术后恢复快、并发症少,且对患者膝关节功能的恢复有着明显的促进作用。Objective To investigate the effect of arthroscopy combined with C-arm X-ray machine in the treatment of tibial plateau fracture.Methods A total of seventy-eight patients with tibial plateau fracture admitted to Danyang People's Hospital from January 2017 to December 2022 were selected conveniently as the study objects and divided into two groups by double-blind random method,with 39 cases in each group.The control group was treated with conventional open reduction and internal fixation,and the observation group was treated with minimally invasive internal fixation by arthroscopy combined with C-arm X-ray machine.The operative effect,operative index,functional recovery of knee joint and incidence of complications of the two groups were analyzed and compared.Results The excellent and good rate of operation in observation group(97.44%)was significantly higher than 82.05%in control group,and the difference was statistically significant(χ^(2)=5.014,P<0.05).The relevant indexes of surgical treatment in the observation group was better than that in the control group,and the differences were statistically significant(all P<0.05).The scores of Lysholm and Hospital for Special Surgery(HSS)were increased in both groups 6 months after surgery,and Lysholm and HSS scores in observation group were significantly higher than those in control group,and the differences were statistically significant(both P<0.05).The total incidence of postoperative complication of the observation group was lower than that of the control group,and the difference was statistically significant(P<0.05).Conclusion Patients with tibial plateau fracture treated with arthroscopy combined with C-arm X-ray machine have a definite effect,with less trauma,faster postoperative recovery and fewer complications,and have a significant promoting effect on the recovery of knee joint function.

关 键 词：关节镜 C型臂X线机 胫骨平台骨折 膝关节功能 并发症 

分 类 号：R68[医药卫生—骨科学]