关节镜下经皮微创钢板内固定术治疗胫骨平台骨折患者的疗效及对膝关节功能的影响

Efficacy of arthroscopic minimally invasive percutaneous plate osteosynthesis on patients with tibial plateau fractures and its influence and knee function

目的:分析关节镜下经皮微创钢板内固定术(MIPPO)治疗胫骨平台骨折患者的疗效及对膝关节功能的影响。方法:选取90例胫骨平台骨折患者为研究对象,根据术式分为切开复位内固定术(ORIF)组和MIPPO组,每组各45例。比较两组患者围术期指标、愈合时间、术后并发症总发生率及术后3个月膝关节活动度、膝关节功能。结果:相较于ORIF组,MIPPO组患者围术期指标、愈合时间、术后并发症总发生率均更低(P<0.05)。术后3个月时,相较于ORIF组,MIPPO组患者膝关节活动度、膝关节功能评分均更高(P<0.05)。结论:相较于ORIF,MIPPO治疗胫骨平台骨折患者疗效更优,有利于患者骨折预后,改善其膝关节功能。

Objective:To analyze the efficacy of arthroscopic minimally invasive percutaneous plate osteosynthesis(MIPPO)in the treatment of patients with tibial plateau fractures and its influence and knee function.Methods:90 patients with tibial plateau fractures were enrolled,and were divided into open reduction and internal fixation(ORIF)group and MIPPO group by means of the surgical methods,with 45 cases in each group.The perioperative indicators and healing time,total incidence rate of postoperative complications and knee range of motion and knee function at 3 months after surgery were compared between groups.Results:Compared with ORIF group,the perioperative indicators,healing time and total incidence rate of postoperative complications were shorter or lower in MIPPO group(P<0.05).At 3 months after surgery,MIPPO group had higher knee range of motion and knee function score compared to ORIF group(P<0.05).Conclusion:Compared with ORIF,MIPPO is more effective in the treatment of patients with tibial plateau fractures,and the latter one is more beneficial to the prognosis of fracture and the improvement of knee function.