摘要
目的探讨在膝关节镜引导下微创治疗胫骨平台骨折的临床疗效。方法 2006年12月～2010年5月笔者所在医院共治疗胫骨平台骨折37例,其中SchatzkerⅠ型7例,Ⅱ型22例,Ⅲ型8例,均在关节镜引导下行小切口复位内固定术,术后配合早期功能锻炼。结果所有患者均获得随访,随访时间12～46个月,平均29.4个月。X线片显示所有患者均在术后3、4个月获得骨性愈合,未出现严重并发症。采用Rasmusse评分标准评价临床疗效,本组优31例(83.8%),良4例(10.8%),可2例(5.4%),优良率为94.6%。结论采用膝关节镜引导下的微创手术治疗SchatzkerⅠ～Ⅲ型胫骨平台骨折,具有创伤小、骨折愈合快、膝关节功能恢复良好和并发症少的临床疗效,是一项值得临床推广的技术。
Objective To discuss the clinical effect of microinvasive treatment for tibial plateau fracture under arthroscope. Methods From Dec 2006 to March 2010, a total of 37 cases with tibial plateau fractures were treated by arthroscopic fixation. According to Schatzker criteria,7 cases were classified as type Ⅰ fracture,22 cases type Ⅱ ,and 8 cases type Ⅲ. Of all cases in this study, the fractures were reduced and fixed under arthroscope. Moreover, the early rehabilitation training was carried out in patients after operation. Results All the cases were folowed up for 12 to 46 months （29.4 months on average）. The X - ray findings showed bone union in all the 37 cases in 3 - 4 postoperative months. There was no serious complication performed. According to Rasmusse knee rating system,31 cases were excellent ,4 were good, and 2 were fair, the overall rate of excelent and good was 95.6%. Conclusion Microinvasive treatment for Schatzker type Ⅰ-Ⅲ tibial plateau fracture guided by arthroscope has advantages of minimal invasion, anatomic reduction, early recovery and less complications. It is worth of further clinical application.
出处
《中国医学创新》
CAS
2010年第32期10-12,共3页
Medical Innovation of China
关键词
胫骨平台骨折
膝关节镜
Tibial plateau fracture
Arthrescope
