膝关节镜微创手术应用于胫骨平台骨折的疗效及安全性分析

Efficacy and safety analysis of arthroscopic minimally invasive surgery applied in tibial plateau fracture

目的探讨膝关节镜微创手术治疗胫骨平台骨折的临床疗效及安全性。方法选取2014年1月-2016年1月该院50例胫骨平台骨折患者,根据随机数字法,将其分为对照组(传统开放手术)和观察组(膝关节镜微创手术),每组各25例,比较两组手术情况、术后并发症和膝关节功能恢复情况。结果与对照组相比,观察组手术时间、术中出血量、下床活动时间、负重下地活动时间和术后引流量均明显减少,差异有统计学意义(P<0.05);与对照组相比,观察组术后伤口感染、畸形愈合、创伤性关节炎和膝关节僵直等并发症发生率明显降低,差异有统计学意义(P<0.05);与对照组相比,观察组患者膝关节功能评分及放射学评分优良率均明显提高,差异有统计学意义(P<0.05)。结论膝关节镜微创手术能够明显降低胫骨平台骨折患者术后并发症发生率,有利于患者术后膝关节功能恢复,具有较高的临床疗效及治疗安全性。

Objective To study the clinical efficacy and safety of arthroscopic minimally invasive surgery applied in tibial plateau fracture. Method 50 patients with tibial plateau fracture from Jan 2014 to Jan 2016 were randomly divided into control group （traditional surgery） and observation group （arthroscopic minimally invasive surgery） according to the random number method, 25 patients in each. The surgery condition, postoperative complications and function recovery of knee joint were observed and compared. Results Compared with the control group, the operation time, intraoperative blood loss, ambulation time, weight-bearing ambulation time, and postoperative drainage volume were significantly decreased in observation group with statistical difference （P 〈 0.05）; compared with the control group, the incidence of postoperative complications such as postoperative wound infection, malunion, traumatic arthritis, knee joint stiffness was obviously reduced in the observation group with statistical difference （P 〈 0.05）; compared with the control group, the excellent rates of knee joint function score and radio-graphic score were significantly increased in the observation group with statistical difference （P 〈 0.05）. Conclusion The arthroscopic minimally invasive surgery can significantly reduce the incidence of postoperative complications for patients with tibial plateau fracture and is beneficial to the recovery of knee joint function with higher clinical efficacy and treatment safety.