期刊文献+

关节镜辅助复位内固定与传统切开复位内固定治疗胫骨平台骨折的比较研究 被引量:25

Comparison between arthroscopic reduction and internal fixation with open reduction and internal fixation for treatment of Schatzker's type Ⅰ-Ⅳ tibial plateau fractures
原文传递
导出
摘要 目的比较关节镜辅助下复位内固定(ARIF)与传统切开复位内固定(ORIF)治疗胫骨平台骨折的疗效。方法选取自2010-03—2014-12诊治的SchatzkerⅠ~Ⅳ型胫骨平台骨折110例,按分层随机分组分为ARIF组和ORIF组,术后12个月随访观察2组疗效。结果 ORIF组手术时间(90.4±11.1)min,ARIF组手术时间(119.3±17.2)min,ORIF组手术时间较ARIF组短,差异有统计学意义(P<0.05);ARIF组53例中51例达到解剖复位,ORIF组57例中48例达到解剖复位;术后6个月ARIF组的膝关节功能优于ORIF组,差异有统计学意义(P<0.05);2组术中失血量、切口大小、并发症、术后疗效差异均无统计学意义(P>0.05)。结论 ARIF技术有利于提高胫骨平台骨折复位质量,具有康复快的优点,提高了胫骨平台骨折的疗效。 Objective To compare the clinical outcomes of arthroscopic reduction-internal fixation (ARIF) and open reduction-internal fixation (ORIF) for tibial plateau fractures. Methods From March 2010 to December 2014, 110 patients were included in this study based on fracture patterns and divided into two groups. The data of each group were collected for statistical analysis on the following. Results The duration of operation was (119.3±17.2)min in group ARIF and (90.4 ± 11.1 )min in group ORIF (P 〈0.05). In group ARIF, however, 51 of 53 patients obtained an anatomical reduction, whereas in group ORIF, only 48 of 57 patients had an anatomical reduction. Furthermore, the postoperative rehabilitation was faster in group ARIF (P 〈0.05). There was no significant difference between both groups in terms of blood loss, postoperative complications, and post-operative function(P 〉0.05). Conclusion ARIF can improve the clinical efficacy in the treatment of tibial plateau fractures, which can improve fractures reduction and promote patients' early rehabilitation.
出处 《中国骨与关节损伤杂志》 2017年第6期595-597,共3页 Chinese Journal of Bone and Joint Injury
基金 首都市民健康项目培育(Z131100004013046)
关键词 胫骨平台骨折 关节镜 骨折固定 螺钉 内固定 Tibial plateau fracture Arthroscopic management Fractures fixation Bone screws Internal fixation
  • 相关文献

参考文献2

二级参考文献19

  • 1Cole PA,Zlowodzki M,Kregor PJ.Less Invasive Stabilization System(LISS)for fracures of the proximal tibia:indications,surgical tech-nique and preliminary results of the UMC clinical trial[J].Injury,2003,34(1):16-29.
  • 2Shuo S.Hung,MD,En-Kai Chao,MD,Yi-Sheng Chan.Arthroscopi-cally assisted osteosynthesis for tibial plateau fractures[J].J Trauma,2003,54:356-363.
  • 3Bennett WF,Browner B.Tibial plateau fractures:a study of associat-ed soft tissue injuries[J].J Orthop Trauma,2006,8:183-188.
  • 4Marsh JL,Smith ST,DOTT.External fixation and limited internalfixation for complex fractures of the tibial plateau[J].J Bone JointSurg(Am),2005,77:661-673.
  • 5Honkonen SE.Degenerative arthritis after tibial plateau fractures[J].J Orthop Trauma,2005,9:273-277.
  • 6Rasmussen PS. Tibial condylar fractures. Impairment of knee joint stability as an indication for surgical treatment [J]. J Bone Joint Surg (Am), 1973,55(7): 1331-1350.
  • 7Kayali C ,Ozturk H ,Altay T, et al. Arthroscopically assisted percuta- neous osteosynthesis of lateral tibial plateau fractures [J]. Can J Surg,2008,51(5) :378-382.
  • 8Chan YS,Chiu CH,Lo YP,et a/. Arthroscopy-assisted surgery for tibial plateau fractures:2- to 10-year follow-up results [J]. Arthroscopy, 2008,24(7) : 760-768.
  • 9Werner CM,Scheyerer MJ ,Schmitt J,et al. Minimally invasive bal- loon-assisted reduction and internal fixation of tibial plateau frac- tures[J]. Unfallchirurg,2012,115(12): 1126-1132.
  • 10Vendeuvre T, Babusiaux D, Breque C, et al. Tuberoplasty :minimally invasive osteosynthesis technique for tibial plateau fractures [J]. Or- thop Traumatol Surg Res,2013,99(4 Sappl):$267-272.

共引文献26

同被引文献188

引证文献25

二级引证文献136

相关作者

内容加载中请稍等...

相关机构

内容加载中请稍等...

相关主题

内容加载中请稍等...

浏览历史

内容加载中请稍等...
;
使用帮助 返回顶部