关节镜下复位内固定术治疗胫骨平台骨折合并前交叉韧带撕脱的效果观察

Effect observation of arthroscopic reduction and internal fixation for the treatment of tibial plateau fracture complicated with anterior cruciate ligament avulsion

目的观察关节镜下复位内固定术治疗胫骨平台骨折合并前交叉韧带撕脱的效果。方法选择2014年6月~2016年8月在我院收治的胫骨平台骨折合并前交叉韧带撕脱患者62例,采用数学随机列表法,分为对照组、治疗组,每组31例。对照组行传统切开复位内固定术,治疗组行关节镜下复位内固定术。观察两组患者手术情况、术后恢复情况及术后膝关节功能情况,并比较两组患者术后临床疗效。结果治疗组手术时间长于对照组,术中出血量、住院时间、骨折愈合时间均低于对照组,差异均有统计学意义(P<0.05);治疗组Lysholm功能评分、HSS评分、Rasmussen评分均高于对照组,差异均有统计学意义(P<0.05);治疗组的优良率明显高于对照组(93.55%vs.74.19%),差异有统计学意义(P<0.05)。结论胫骨平台骨折合并前交叉韧带撕脱患者行关节镜下复位内固定术,可有效降低患者术中出血量、住院时间、骨折愈合时间,术后膝关节功能恢复良好。

Objective To observe the effect of arthroscopic reduction and internal fixation in the treatment of tibial plateau fracture complicated with anterior eruciate ligament avulsion.Metbods 62 cases of tibial plateau patients with anterior cruciate ligament avulsion fracture in our hospital from June 2014 to August 2016,were selected,and randomly divided into control group and treatment group,31 cases in each group.The control group received conventional open reduction and internal fixation,and the treatment group received arthroscopic reduction and internal fixation.The operation condition,postoperative recovery and postoperative knee function of the two groups were observed and compared, and the clinical efficacy of the two groups was compared.Results The operation time of the treatment group was longer than that of control group,and the amount of bleeding,hospitalization time,healing time of fracture of the treatment group were lower than those of the control group,the differences were statistically significant （P〈0.05）;Lysholm seore,HSS score and Rasmussen score of the treatment group were higher than the control group,the difference was statistically significant （P〈0.05）;the excellent rate of the treatment group was significantly higher than the control group （93.55% vs. 74.19%）,the difference was statistically significant （P〈0.05）.Conclusion Arthroscopie reduction and internal fixation of tibial plateau fractures combined with anterior cruciate ligament avulsion can effectively reduce the amount of bleeding, the length of stay and the time of fracture healing, and the recovery of knee function is satisfactory.