关节镜辅助微创手术与传统切开复位内固定术治疗胫骨平台骨折疗效的对比研究

Arthroscopy assisted minimally invasive surgery compared with traditional open reduction and internal fixation in the treatment of tibial plateau fracture

目的比较关节镜辅助微创手术与传统切开复位内固定术治疗胫骨平台骨折的临床疗效。方法对德阳市第五医院2008年11月至2010年11月间分别采用关节镜辅助微创手术与传统切开复位内固定术治疗胫骨平台骨折患者的，临床资料进行回顾性研究，比较两种治疗方法骨折愈合时间、术后并发症、Rasmussen膝关节功能评分情况。结果关节镜辅助微创手术组优良率为88％，明显优于传统切开复位内固定术组为65．2％；骨折临床愈合时间关节镜辅助微创手术组平均10．5周，明显短于传统切开复位内固定术组平均13周（P〈0．05），Ras—mussen膝关节功能评分关节镜辅助微创手术组平均25．4分，高于传统切开复位内固定术组平均21．8分（P〈0．05）。结论关节镜辅助微创手术治疗胫骨平台骨折较传统切开复位内固定术明显减少创伤、缩短骨折愈合时间、减少术后并发症的发生，术后功能恢复快，提高了胫骨平台骨折的治疗效果。

Objective To compare the curative effect of the arthroscopy auxiliary minimally invasive surgery and traditional open reduction internal on tibia1 plateau fracture. Methods The data of patients in the fifth hospital of Deyang from November 2008 to November 2010 with tibial plateau fracture who used arthroscopy assisted minimally invasive operation or ORIF were retrospectively studied. The fracture healing time, postoperative complicati0ns and Rasmussen knee joint function score were compared between the two groups. Results In arthroscopic assisted minimally invasive operation group, the excellent and good rate was 88% , significantly better than that of ORIF group, which was 65.2%. The healing time of fracture arthroscopy assisted minimally invasive operation group, the average time was 10.5 weeks, were significantly shorter than ORIF group, the average time was 13 weeks （P 〈 0. 05）. Rasmussen knee function scores arthroscopic assisted minimally invasive operation group was 25.4, higher than that of ORIF group averaged 21.8 points （P 〈 0.05）. Conclusions Arthroscopic assisted minimally invasive operation in treatment of tibial plateau fractures compared with ORIF has significantly less trauma, shorter healing time, can reduce the incidence of postoperative complications, postoperative recovery time, improve the efficacy in treatment of fractures of the tibial plateau.