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2001年9月至2006年9月,18例胫骨平台骨折在关节镜监视下通过胫骨开窗撬拨复位、植骨,并经皮内固定。结果18例术后3个月都达到临床骨性愈合。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 18 cases of tibial plateau fractures from Sep,2001 to Sep,2006 were reviewed. The fractured tibial plateau was reconstructed by ＂drag-and-draw＂ reduction and iliac crest bony graft under arthroscope. And pereutaneous cancellous bone screw fixation was conducted. Results linical bone union was achieved in all the patients in three month after operative. No infection or severe osteoarthritis occurred. Conclusion ARPF for tibial plateau fractures has advantages of reduction under direct view ,reliable fixation and facilitation for early activities.