摘要
目的探讨分析为SchatzkerⅠ~Ⅲ型胫骨平台骨折患者实施关节镜辅助经皮螺钉内固定手术治疗的临床效果。方法2014年2月—2018年4月,将86例SchatzkerⅠ~Ⅲ型胫骨平台骨折患者随机等分为两组,每组各43例。为参照组行传统切开复位内固定手术治疗,针对研究组实施关节镜辅助经皮螺钉内固定手术治疗,观察比较两组的治疗有效率、手术持续时间、手术切口长度、术中累计出血量、骨折愈合时间、Lysholm评分,以及雍氏评分。结果研究组的治疗有效率高于参照组,差异有统计学意义(P<0.05)。研究组的手术持续时间、手术切口长度、术中累计出血量,以及骨折愈合时间均低于参照组,差异有统计学意义(P<0.05)。研究组的Lysholm评分和雍氏评分均高于参照组,差异有统计学意义(P<0.05)。结论为骨科临床中确诊收治的SchatzkerⅠ~Ⅲ型胫骨平台骨折患者实施关节镜辅助经皮螺钉内固定手术治疗,能获取较好结果。
Objective To investigate and analyze the clinical effect of arthroscopic-assisted percutaneous screw fixation for Schatzker type I^III tibial plateau fractures.Methods From February 2014 to April 2018,86 patients with Schatzker type I^III tibial plateau fractures were randomly divided into two groups,43 patients in each group.For the reference group,traditional open reduction and internal fixation were performed.arthroscopy-assisted percutaneous screw internal fixation was performed in the study group.The therapeutic efficacy,operative duration,operative incision length,cumulative intraoperative bleeding,fracture healing time and Lysholm score were observed and compared between the two groups.The calculated value and Yong's score index.Results The effective rate of treatment in the study group was higher than that in the control group,the difference between the two groups was statistically significant(P<0.05).The operation duration,incision length,cumulative blood loss and fracture healing time in the study group were lower than those in the control group,the difference between the two groups was statistically significant(P<0.05).The Lysholm score index and Yongshi score index in the study group were higher than those in the control group,the difference between the two groups was statistically significant(P<0.05).Conclusion Arthroscopy-assisted percutaneous screw internal fixation for Schatzker typeⅠ-Ⅲtibial plateau fracture can obtain better results.
作者
李銮宁
LI Luanning(Department of Orthopedics of Lower Limbs,XiangyangHospital of Traditional Chinese Medicine,Xiangyang Hubei 441000,China)
出处
《中国继续医学教育》
2019年第16期95-98,共4页
China Continuing Medical Education
关键词
关节镜
经皮螺钉内固定
手术
胫骨平台骨折
临床效果
arthroscopy
percutaneous screw internal fixation
surgery
tibial plateau fracture
clinical effect
