关节镜下撬拨复位经皮固定治疗胫骨平台骨折

Treatment of tibial plateau fractures by arthroscopic reduction and percutaneous fixation

目的 探讨关节镜下撬拨复位经皮固定治疗胫骨平台骨折的疗效。 方法 1999年 4月～ 2 0 0 2年 6月 ,17例胫骨平台骨折在关节镜下通过撬拨复位植骨重建塌陷的胫骨平台 ,并经皮用松质骨螺钉固定。 结果 17例术后 3个月都达到临床骨愈合。无感染和严重骨关节炎等并发症。 结论 关节镜下撬拨复位经皮固定治疗胫骨平台骨折 ,复位直观、固定可靠 ,有利于早期功能锻炼。

Objective To investigate the effectiveness of arthroscopic reduction and percutaneous fixation (ARPF) for the treatment of tibial plateau fractures. Methods Seventeen cases of tibial plateau fractures from April 1999 to June 2002 were reviewed. The fractured tibial plateau was reconstructed by “drag-and-draw” reduction and iliac crest bone graft under arthroscope. And percutaneous cancellous bone screw fixation was conducted. Results Clinical bone union was achieved in all the patients at the third postoperative month. No infection or severe osteoarthritis occurred. Conclusions ARPF for tibial plateau fractures has advantages of reduction under direct view, reliable fixation and facilitation for early activities.