关节镜下经皮微创钢板内固定术治疗胫骨平台骨折的疗效评价

Evaluation of the Therapeutic Effect of Percutaneous Minimally Invasive Steel Plate Internal Fixation Under Arthroscopy for the Treatment of Tibial Plateau Fractures

目的:分析关节镜下微创钢板内固定治疗胫骨平台骨折的临床疗效。方法:选择2022年6月~2023年12月本院收治的114例FTP患者,随机将其分为对照组57例,观察组57例,对照组患者采取切开复位内固定术治疗,观察组患者采取关节镜下微创钢板内固定治疗,对比两组患者的手术指标、膝关节活动度及膝关节功能Rasmussen评分,并比较两组患者围术期炎性应激指标变化情况。结果:观察组患者手术、住院及骨折预后恢复时间均显著低于对照组,同时平均手术切口长度也显著低于对照组,Rasmussen评分及伸屈膝最大角度均明显更高,P<0.05。术后7d,两组患者C反应蛋白、白细胞介素-1β、肿瘤坏死因子-α炎症指标均比治疗前升高,且对照组升高更明显,P<0.05。结论:采用关节镜下经皮微创钢板内固定术治疗胫骨平台骨折,对患者围术期身体综合应激状态的不良影响较小,术后膝关节活动度更好。

Objective:To explore the treatment of tibial plateau fractures(MIPPO)with minimally invasive percutaneous plate fixation under arthroscopy.The clinical efficacy of Plateau(FTP).Methods:114 FTP patients admitted to our hospital from June 2022 to December 2023 were randomly divided into a control group of 57 cases and an observation group of 57 cases.The control group received open reduction and internal fixation surgery,while the observation group received MIPPO treatment under arthroscopy.The surgical indicators,knee joint range of motion,and Rasmussen score of knee joint function were compared between the two groups,and the changes in perioperative inflammatory stress indicators were also compared between the two groups.Results:Compared with the control group,the observation group had significantly shorter surgical time,hospital stay,surgical incision,and healing time,while the maximum angle of knee extension and flexion and Rasmussen score were significantly higher,with P<0.05.7 days after surgery,CRP and IL-1β,TNF-αlevels in both groups of patients the inflammatory indicators increased compared to before treatment,and the control group showed a more significant increase,P<0.05.Conclusion:The use of arthroscopic percutaneous minimally invasive steel plate internal fixation for the treatment of tibial plateau fractures has minimal adverse effects on the overall stress state of the patient’s body during the perioperative period,and better postoperative knee joint mobility.