摘要
目的探讨关节镜辅助治疗胫骨平台手术效果。方法对63例闭合性胫骨平台骨折在关节镜监控下复位小切口内固定。结果患者均获随访,时间618个月,骨折临床愈合时间4-10个月,无感染、关节强直等并发症发生,X线片显示49例达解剖复位,14例平台关节面有2 mm以下塌陷。按Rasmussen功能评分标准：优35例,良22例,可6例,总优良率90.5%。结论关节镜辅助治疗胫骨平台骨折,疗效可靠,创伤小,术后关节功能恢复快。
Objective To investigate the effect of the minimally invasive internal fixation with arthroscopy to treat tibial plateau fracture.Methods 63 cases of closed tibial plateau fractures were examined and reduced under arthroscopy,and treated by minimally invasive internal fixation.Results All cases were followed up for 618 months.All fractures were unitied after 410 postoperative months,and no infection or ankylosis occurred.The X-ray findings showed 49 cases anatomic reduction,14 cases collapse fracture of tibial plateau within 2 mm.According to Rasmussen′s knee rating system,35 cases had excellent results,22 good,and 6 fair.The excellent and good rate was 90.5%.Conclusions It is a good way to treat tibial fracture with arthroscopy,which requires minimal trauma and provides quick recovery.
出处
《临床骨科杂志》
2009年第6期647-648,共2页
Journal of Clinical Orthopaedics
关键词
关节镜检查
胫骨平台骨折
骨折固定术
内
arthroscopy
tibial plateau fractures
fracture fixation
internal
