创伤关节镜下手术治疗胫骨后侧平台骨折的疗效分析

Analysis of clinical therapeutic effect of invasive arthroscopic surgical treatment for tibial posterior plateau fracture

目的观察创伤关节镜下手术治疗胫骨平台后侧骨折的疗效。方法选取30例累及胫骨平台后侧的胫骨近端骨折患者按入院顺序随机分为两组,15例患者采用创伤关节镜下手术治疗作为观察组,15例患者采用传统的胫骨平台后内侧或后外侧入路手术治疗作为对照组。两组患者随访0.5～1年,按Rasmussen评分标准对膝关节功能进行评分,采用Rasmussen放射学评分标准对患者骨折复位满意度进行评价,观察比较两组患者评价情况。结果观察组膝关节功能恢复优良率为93.33%,对照组为73.33%;观察组膝关节骨折复位优良率为86.67%,对照组为66.67%,两组差异均有统计学意义(均P<0.05)。结论创伤关节镜下治疗胫骨平台后侧骨折创伤小,骨折愈合快,复位准确,术后膝关节功能恢复好,复位满意率高。

Objective To observe the therapeutic effect of invasive arthroscopic surgical treatment for tibial posterior plateau fracture.Methods 30 cases of proximal tibial fracture patients involved back side of tibial plateau were selected and randomly divided into two groups.15 cases of patients treated with traumatic arthroscopic surgery were divided into the observation group,15 cases of patients treated with traditional tibial plateau side or posterolateral approach surgery were divided into the control group.Patients of the two groups were followed up for 0.5-1 years,knee-joint function score was evaluated by Rasmussen standard,patients＇ satisfaction with fracture reduction was evaluated by Rasmussen radiological standard.The evaluation results of the two groups were observed.Results The excellent and good rate of knee-joint function recovery in the observation group was 93.33%,which was 73.33% in the control group;the excellent and good rate of knee-joint fracture reduction in the observation group was 86.67%,which was 66.67% in the control group,the differences between the two groups were statistically significant（P 0.05）.Conclusion The trauma of arthroscopic treatment for tibial plateau posterior fracture is small,fracture is healing fast and its reduction is accurate,which has high satisfaction rate of knee-join functional recovery and reduction.