摘要
目的:探讨关节镜辅助下微创治疗胫骨平台骨折的可行性及临床应用价值。方法:回顾分析胫骨平台骨折80例,其中关节镜辅助下微创手术组、常规切开复位内固定术组各40例,对比观察2组术后关节评分,切口长度、术中出血量、平均住院天数。结果:与常规手术组相比,关节镜辅助下微创手术的关节评分优于常规手术组(P<0.05),而且手术切口长度、术中出血量、平均住院天数均明显优于常规手术组(P<0.05)。结论:关节镜辅助下微创治疗胫骨平台骨折技术操作相对简便,具有效果好,创伤小,术后恢复快等优点,在严格掌握手术适应证的前提下,关节镜辅助下微创手术是治疗胫骨平台骨折的较好选择。
Objective:To study the feasibility of minimal invasive by joint mirror in treatment of Shinbone platform fractures.Methods:Eighty patients with Shinbone platform fractures were treated with the minimal invasive by joint mirror or open pedicle screw fixation respectively.Incision size,the bleeding volume,time of the patients in the hospital were compared.Results:Compared with the open pedicle screw fixation group,patients in the minimal invasive by joint mirror pedicle screw fixation group experienced a significantly smaller incision size,a significant decrease in surgical blood loss.The time of the patients in the hospital shortened significantly.Conclusion:This study shows that minimal invasive by joint mirror in treatment of Shinbone platform fractures has the advantages of simple manipulation,less trauma and bleeding,short hospital time,quick recovery.minimal invasive by joint mirror in treatment of Shinbone platform fractures is preferable given careful evaluation of the surgical indications.
出处
《中国医药导刊》
2013年第6期967-968,共2页
Chinese Journal of Medicinal Guide
关键词
胫骨平台骨折
关节镜
微创
Shinbone platform fracture
Joint mirror
Minimal invasive