摘要
目的观察关节镜辅助下锁定加压钢板治疗复杂胫骨平台骨折的临床疗效。方法 2009年1月至2011年10月共收治复杂胫骨平台骨折患者21例,男13例,女8例,平均（42.5±7.2）岁,骨折按Schatzker分型,Ⅴ型14例,Ⅵ型7例,均采用关节镜辅助下复位手术,采用膝下内、外侧双切口,双侧或单侧锁定钢板内固定。结果 20例获得随访,随访时间6～18个月,平均12个月,所有骨折均在4～6个月愈合,膝关节功能参照Rasmussen评分标准,优14例,良5例,差1例,优良率95%。结论关节镜辅助下锁定钢板治疗复杂胫骨平台骨折具有复位好、骨折愈合快、关节功能恢复好及并发症少的优点,是一种治疗胫骨平台骨折的有效可行方法。
Objective To observe the clinical effect of arthroscopic assisted locking compression plate in the treatment of complex tibial plateau fractures. Methods From January 2009 to October 2011,21 patients with complex tibial plateau fracture were treated by Arthroscopy assisted operation. There were 1 3 male cases,8 female cases,with a mean age of（ 4 2. 5 ± 7. 2） years old. According to Schazker classification,there were 14 type Ⅴ,7 type Ⅵ. We used medial and lateral knee approach and one or two locking compression plate（ LCP） for for these fractures. Results 20 cases were followed up for 6 ～ 18 months（ mean 12 months）. All the fractures were healed within 4 ～ 6 months. According to the Rasmussen scoring system,the outcome was excellent in 14 cases,good in 5 and bad in 1 case. The good rate was 95%. Conclusion To complex tibial plateau fractures arthroscopic assisted operation combined with LCP characterized with good reduction,fast fracture healing,good joint function and less complications. And it is an effective method.
出处
《实用骨科杂志》
2014年第5期420-422,共3页
Journal of Practical Orthopaedics
关键词
胫骨平台骨折
关节镜
锁定加压钢板
tibial plateau fractures
arthroscopy
locking compression plate
