关节镜下治疗胫骨平台骨折

Treatment of tibial plateau fractures with arthroscopy

目的探讨在关节镜微创条件下行胫骨平台骨折内固定的可行性和临床疗效。方法在关节镜监视下行胫骨平台骨折（SchatzkerⅠ～Ⅳ型）内固定34例。结果所有病人骨折均达到解剖复位，经随访10个月-3年，骨折均愈合，疗效满意，无并发症。结论关节镜监视下行胫骨平台骨折内固定方法切实可行，疗效海鬈。

Objective ：To discuss the feasiability and clinical results of the minimally invasive intemal fixation with arthroscopy to treat tibial plateau fractures. Methods ：34 cases of tibial plateau fractures（ Schatzker Ⅰ- Ⅳ ） were treated with arthroscopic internal fixation. Results ：The follow ups of the patients lasted from 10 months to 3 years. Anatomic reduction was achieved in all the patients of tibial plateau fractures. The outcome was satisfactory,without complications. Conclusion： Arthroscopic internal fixiation is technically possible and can achieve good results in the treatment of tibial plateau fractures.