关节镜引导下治疗胫骨平台骨折32例临床分析

Clinical Analyzing of Arthroscopic Assisted Management of Tibial Plateau Fracture in 32 Patients

目的：探讨关节镜在治疗胫骨平台骨折中的临床应用。方法：自2006年6月—2009年1月间应用关节镜引导下治疗胫骨平台骨折32例,男20例,女12例,平均年龄38.5岁,术后随访时间10-30个月,平均22个月。结果：按照Lysholm膝关节评分标准,32例病人平均92.5分（80-95分）,膝关节活动度平均122°（110°-140°）。结论：尽管关节镜难以成为治疗胫骨平台骨折的常规治疗手段,但由于手术对患者的再次损伤很小,符合微创的理念和原则,且在术后的恢复、术中伤情的判断、临床结果等方面均有独特的优势,因此在合适的患者群中值得优先考虑。

Objective：To discuss minimal surgical treatment with arthroscopic assisted in tibia plateau fracture.Methods：From April 2006 to January 2009,32 cases of the tibia plateau fracture were treated with arthroscopic assisted management.There were 20 males and 12 females average 38.5 years old.At a mean follow-up for 22 months（10 to 30 months）.Results：According to Lysholm scale of knee joint,92.5 score？（80 to 95）,for average and average range of motion for 122°（110° to 140°）.Conclusion：Although arthroscope assisted is difficult to become the convent ional management treating tibia plateau fracture,secondary injuries on patient obtained from operation is tiny which consistent with the conception of the minimal invasive.Furthermore,there are distinctive advantages in poster operative rehabilitation,judgment of the injury and clinical outcome.Arthroscopic assisted management deserve the preferential recommendation among the suitable patients suffer from tibia plateau fracture.