摘要
目的分析累及后外侧胫骨外侧平台骨折关节镜辅助下复位手术内固定治疗的优势。方法选取2010年8月至2015年25累及后外侧胫骨外侧平台骨折患者88例，根据入院先后次序分成传统手术组和关节镜手术组，传统手术组采用传统手术入路治疗，关节镜手术组采用创伤关节镜辅助下复位内固定手术治疗。对比观察两组患者术后的膝关节疼痛、关节活动度、关节稳定性、关节屈伸度缺失、骨折愈合等情况。结果关节镜手术组患者治疗后的骨折愈合时间、关节功能恢复情况、关节功能评分及患者满意率均优于传统手术组，差异均有统计学意义（P〈0．05）；关节镜手术组患者的骨折复位优良率（70％）明显高于传统手术组（65．5％）（P〈0．05）。结论累及后外侧的胫骨外侧平台骨折关节镜辅助下复住手术内固定治疗的疗效显著，具有手术创伤小，骨折复位精准，术后关节功能恢复快，患者满意度高。
Objective To study the therapeutic effects of arthroscopic-assisted reduction of the lateral tibial platform fracture involving the posterolateral tibial plateau. Methods From August 2010 to February 2015, according to the order of admission, the 88 patients with lateral tibial plateau fractures were divided into traditional operation group and arthroscopic-assisted operation group.These patients in the traditional operation group were treated by arthroscopic-assisted operation.The patients in arthroscopic-assisted operation group were treated by traditionally. The knee pain, joint mobility, joint stability, the missing of joint flexion and extension and fracture healing of the two groups were observed. Results The fracture healing time, the recovery of joint function, the joint function score and the patient satisfaction rate of arthroscopic-assisted operation group were better than that of the traditional operation group, and the difference had statistically significant （ P〈0.05 ） . The excellent and good rate of fracture reduction in arthroscopic-assisted operation group was significantly higher than that in the traditional operation group （ 70% vs. 65,5%, P〈0.05 ） . Conclusion It has a significant therapeutic effects with arthroscopic-assisted reduction of the lateral tibial platform fracture involving the posterolateral tibial plateau. Compared with traditional treatment method, it has smaller operative trauma, more accurate fracture reduction, quickerrecoveryofpostoperativejoint function and higher patient satisfaction.
出处
《浙江临床医学》
2017年第5期899-901,共3页
Zhejiang Clinical Medical Journal
关键词
创伤关节镜
胫骨后外侧平台骨折
手术治疗
骨折复位
临床疗效
Arthroscopy Posterolateral tibial plateau fracture Operation Fracture reduction Therapeutic effect
