关节镜辅助复位内固定治疗SchatzkerⅠ~Ⅳ型胫骨平台骨折疗效分析  

Clinical Efficacy of Arthroscopy Assisted Reduction and Internal Fixation in the Treatment of Schatzker I-IV Tibial Plateau Fractures

作　　者：张国东 徐涛 ZHANG Guodong;XU Tao(Department of Orthopedics,The People's Hospital of Jizhou District,Tianjin 301900,China)

机构地区：[1]天津市蓟州区人民医院骨科,天津301900

出　　处：《中国烧伤创疡杂志》2025年第2期157-160,共4页The Chinese Journal of Burns Wounds & Surface Ulcers

摘　　要：目的分析关节镜辅助复位内固定(ARIF)治疗SchatzkerⅠ~Ⅳ型胫骨平台骨折的临床疗效。方法选取2021年1月至2023年1月天津市蓟州区人民医院收治的80例SchatzkerⅠ~Ⅳ型胫骨平台骨折患者作为研究对象,按照不同手术操作方法将其分为微创组(42例)和切开组(38例),微创组患者采用ARIF治疗,切开组患者采用切开复位内固定(ORIF)治疗,对比两组患者围术期相关指标、膝关节功能及并发症发生率。结果微创组患者术中出血量少于切开组(t=5.616,P<0.001),手术时间、术后首次下床时间及住院时间均短于切开组(t=5.438、7.940、5.268,P均<0.001);术后1、3个月,微创组患者膝关节功能评分均高于切开组(t=3.197、2.181,P=0.002、0.032);微创组患者术后并发症发生率明显低于切开组(χ^(2)=4.941,P=0.026)。结论与ORIF相比,ARIF改善SchatzkerⅠ~Ⅳ型胫骨平台骨折患者膝关节功能的效果更显著,且术中出血量更少、术后恢复更快、并发症发生率更低。ObjectiveTo analyze the clinical efficacy of arthroscopy assisted reduction and internal fixation(ARIF)in treating Schatzker I-IV tibial plateau fractures.Methods 80 patients with Schatzker I-IV tibial plateau fractures admitted to The People's Hospital of Jizhou District,Tianjin from January 2021 to January 2023 were enrolled as research subjects.Patients were divided into the minimally invasive group(n=42)and the incision group(n=38)based on different surgical methods.Patients in the minimally invasive group were treated with ARIF,whereas patients in the incision group were treated with open reduction and internal fixation(ORIF).Perioperative indicators,knee function,and the incidence of complications were compared between the two groups.Results The intraoperative blood loss of patients in the minimally invasive group was significantly less than that of the incision group(t=5.616,P<0.001).The operation time,first off-bed time,and length of stay were shorter in the minimally invasive group compared to the incision group(t=5.438,7.940 and 5.268,all P<0.001).1 month and 3 months after operation,the knee joint function scores of patients in the minimally invasive group were significantly higher than those of the incision group(t=3.197 and 2.181,P=0.002 and 0.032).The incidence of postoperative complications in the minimally invasive group was significantly lower than that in the incision group(χ^(2)=4.941,P=0.026).Conclusion Compared with ORIF,ARIF realizes a more definite therapeutic effect in improving knee function in patients with Schatzker I-IV tibial plateau fractures,with less intraoperative blood loss,faster recovery,and lower incidence of complication.

关 键 词：微创 胫骨平台骨折 切开复位内固定 关节镜 关节镜辅助复位内固定 膝关节功能 

分 类 号：R68[医药卫生—骨科学]