关节镜下自体骨软骨移植系统辅助复位治疗胫骨平台塌陷骨折的疗效分析

Clinical efficacy of arthroscopy auxiliary reduction using autologous bone cartilage transplantation system for treatment of tibial plateau collapse fractures

目的探讨关节镜下使用自体骨软骨移植系统（0ATS）辅助复位治疗胫骨平台塌陷骨折的优势及疗效。方法对自2005-07－2011—12收治的46例SehatzkerⅡ、Ⅲ型胫骨平台骨折进行回顾性研究，所有患者均在关节镜监视下采用OATS辅助塌陷处骨折复位及骨缺损处植骨。结果46例中38例获得完整随访，随访时间1~6年，平均2．3年。末次随访时按照Neer膝关节评分标准评定疗效：优32例，良4例，可1例，差1例。结论关节镜下使用OATS辅助复位治疗胫骨平台塌陷骨折具有手术创伤小、操作简单、骨折塌陷部定位准确、复位完全、植骨充分及开窗后胫骨骨窗闭合完全等优点。

Objective To evaluate the role of arthroscopy auxiliary reduction using autologous bone cartilage transplantation system for treatment of tibial plateau collapse fractures, and analyse advantages and curative effect. Methods From July 2005 to December 2011, 46 patients with Schatzker type Ⅱ,Ⅲ fracture of tibia1 plateau were retrospectively studied. All patients underwent arthroscopy monitoring autologous bone cartilage transplantation system auxiliary tibia platform collapse fracture reduction and bone defect. Results Thirty eight of the 46 cases were followed-up for 1 to 6 years, with an average of 2.3 years. According to the Neer knee rating standard evaluation the curative effect, 32 cases were graded as excellent, 4 as good, 1 as fair, 1 as poor. Conclusion Arthroscopic autogenous bone cartilage transplantation system auxiliary reset treatment of tibial plateau collapse fractures has lots of advantages such as small surgical trauma, simple operation, fracture collapse of accurate positioning, reset completely, graft full and open the window after tibia bone window closed completely etc.