创伤关节镜下手术治疗胫骨后侧平台骨折的临床研究

Clinical Study of Surgical Treatment of Posterior Tibial Plateau Fractures under Traumatic Arthroscopy

目的探究采用创伤关节镜下手术治疗胫骨后侧平台骨折的临床效果。方法选取本院收治的60例胫骨后侧平台骨折患者作为研究对象,按照治疗方式的不同分为对照组和观察组,各30例。对照组采用传统的胫骨平台后内侧手术治疗,观察组采用创伤关节镜下手术治疗。比较两组患者膝关节功能优良率、骨折复位优良率及骨折愈合时间和治疗满意度。结果观察组的膝关节功能优良率为93.33%(28/30),显著高于对照组的66.67%(20/30)(χ~2=6.667,P<0.05);观察组的骨折复位优良率为90.00%(27/30),显著高于对照组的66.67%(20/30)(χ~2=4.812,P<0.05);观察组的骨折愈合时间为(96.78±10.33)d,显著短于对照组的(123.33±15.75)d(χ~2=6.054,P<0.05);观察组的满意度为100.00%(30/30),显著高于对照组的83.33%(25/30)(χ~2=5.455,P<0.05)。结论胫骨后侧平台骨折采用创伤关节镜下手术治疗的临床疗效优于传统胫骨平台后内侧手术,缩短骨折愈合时间,促进患者康复,有效提升治疗满意度。

Objective To explore the clinical effect of surgical treatment of the posterior tibial plateau fracture under traumatic arthroscopy. Methods Sixty patients with posterior tibial plateau fracture treated in our hospital were divided into control group and observation group according to different treatment methods,30 cases in each group. The control group was treated with the traditional posterior medial tibial plateau surgery,and the observation group was treated under the arthroscopy. The good rate of knee joint function,the good rate of fracture reduction,the time of fracture healing and the satisfaction of patients were compared and analyzed in the 2 groups. Results The excellent and good rates of knee joint function in the observation group and the control group were 93.33%(28/30)and 66.67%(20/30)respectively(χ~2=6.667,P<0.05). The excellent rate of fracture reduction in the observation group and the control group were 90.00%(27/30)and 66.67%(20/30),respectively(χ~2=4.812,P<0.05). The fracture healing time of observation group and control group was(96.78±10.33)and(123.33±15.75)d,respectively(χ~2=6.054,P<0.05). The satisfaction rate of the observation group and control group were 100.00%(30/30)and 83.33%(25/30),respectively(χ~2=5.455,P<0.05). Conclusion The surgical treatment of posterior tibial plateau fracture under arthroscopic surgery is effective,which could shorten fracture healing time,promote patient rehabilitation,and effectively improve patients satisfaction.