摘要
目的:对比SchatzkerⅢ型胫骨平台骨折患者应用关节镜辅助下复位内固定与传统切开内固定治疗的效果。方法:于2013年3月-2018年1月选取笔者所在医院治疗的60例SchatzkerⅢ型胫骨平台骨折患者为研究对象,按随机数字表法分为观察组、对照组。观察组32例患者应用关节镜辅助下复位内固定治疗,对照组28例患者应用传统切开内固定治疗。对比两组相关观察指标、膝关节功能。结果:观察组患者切口长度、手术时间、术中出血量、术后引流量、下床活动时间均优于对照组,差异有统计学意义(P<0.05);术后6个月,观察组膝关节功能主观评价优良率、放射学评价优良率均高于对照组,差异有统计学意义(P<0.05)。结论:与传统切开内固定治疗相比,应用关节镜辅助下复位内固定治疗SchatzkerⅢ型胫骨平台骨折,可显著降低术中出血量,减轻对患者软组织的损伤,提高患者膝关节功能。
Objective:To compare the effect of arthroscopy assisted restorationinternal fixation and traditional incision internal fixation for the patients with Schatzker typeIII tibial plateau fractures.Method:from March 2013 to January 2018,60 patients with SchatzkerIII type tibial plateau fractures treated in our hospital were selected and randomly divided into observation group and control group according to random number table.32 patients in the observation group were treated with arthroscopy assisted internal fixation,and 28 patients in the control group were treated with traditional incision internal fixation.The related observation indexes and knee joint function were compared between the two groups.Result:Patients of observation group with incision length,the operation time,the amount of bleeding during operation,postoperative drainage,ambulation time,patients of control group with length of incision,operation time,the amount of bleeding during operation,postoperative drainage,ambulation time decreased significantly(P<0.05).6 months after surgery,the observation group subjective evaluation of knee joint function excellent rate,radiological evaluation excellent rate were higher than those of control group(P<0.05).Conclusion:Compared with traditional open internal fixation,arthroscopic assisted restoration internal fixation for Schatzker II tibial plateau fractures can significantly reduce intraoperative blood loss,reduce soft tissue injury and improve knee function.
作者
姜景尧
陈永田
丘天雄
张振兴
JIANG Jingyao;CHEN Yongtian;QIU Tianxiong(Longyan Second Hospital,Longyan 364000,China)
出处
《中外医学研究》
2018年第21期21-22,共2页
CHINESE AND FOREIGN MEDICAL RESEARCH
关键词
关节镜辅助
复位内固定
SchatzkerⅢ型
胫骨平台骨折
疗效
Arthroscopy assisted
Restoration and internal fixation
Schatzker typeⅢ
Tibial plateau fracture
Curative effect
