摘要
目的探讨关节镜辅助下结合微创技术治疗胫骨平台骨折手术效果。方法 2007年7月~2011年12月,收治27例胫骨平台骨折患者,按Schatzker分型:Ⅰ型:10例;Ⅱ型:9例;Ⅲ型:3例;Ⅳ型:3例;Ⅴ型:2例;合并半月板损伤6例,前交叉韧带损伤3例。后交叉韧带损伤1例,内侧副韧带损伤Ⅲ度7例;所有病例均在关节镜辅助下进行复位和不同形式的内固定。结果术后患者切口均Ⅰ期愈合,患者均获随访,随访时间6~26个月,平均12个月。骨折均达骨性愈合,愈合时间3~5个月,平均3.5个月;按照Merchant等的评分标准:优18例,良7例,中1例,差1例。优良率为92%。结论关节镜辅助下结合微创技术治疗胫骨平台骨折具有复位准确、损伤小、恢复快及功能佳等优点。
[ Objective ] To explore arthroscopically assisted combined with minimally invasive technique in the treatment of tibial plateau fracture operation effect. [Methods] From 2007 July^2011 December, 27 cases of tibial plateau fracture patients, according to Schatzker classification： type I：10 cases; II： 9 cases; HI ：3 cases; IV： 3 cases; and type V： 2 cases, combined meniscal plate injury in 6 cases, front fork ligament injury in 3 cases, posterior cruciate ligament injury inlcase, injury of the medial collateral ligament m degree 7 cases; All cases were in arthroscopic reduction and different forms of internal fixation. [ Results] Postoperative patients incisions were healed, patients were followed up for 6~26 months, average 12 months. Fractures were healed, healing time ranged from 3 to 5 months, mean 3.5 months; according to the Merchant scoring system： this group was excellent in 18 cases, good in 7 cases, in 1 cases, and poor in 1 case. The excellent and good rate was 92%. [Condusion] Arthroscopic combined with minimally invasive techniques in the treatment of tibial plateau fracture, not only can timely detect and treat intra-artieular injuries , but also can make fracture and reduction of articular surface more accurate; This method has some advantages, such as little injury, quick recovery, excellent prognosis.
出处
《中国内镜杂志》
CSCD
北大核心
2014年第2期183-188,共6页
China Journal of Endoscopy
关键词
胫骨平台
骨折
关节镜
微创内固定
tibial plateau, fracture, arthroscopy, minimally invasive internal tixation
