关节镜下治疗胫骨平台骨折的体会

Treatment of tibial plateau fractures with arthroscopy

目的探讨关节镜在微创条件下行胫骨平台骨折内固定的临床疗效。方法在关节镜监视下行胫骨平台骨折(SchazkerⅠ～Ⅳ型)内固定12例。结果所有病人骨折均达到解剖复位,经随访4～16个月,骨折均愈合,疗效满意,无并发症。结论关节镜监视下行胫骨平台骨折内固定是容易操作的、疗效满意的方法。

Objective To discuss clinical results of the minimally invasive internal fixation with arthroscopy to treat tibial plateau fractures. Methods 12 cases of tibial plateau fractures (SchazkerⅠ～Ⅳ) were treated with arthroscopic internal fixation. Results The follow ups of the patients lasted from 4 to 6 months. Anatomic reduction was achieved in all the patients of tibial plateau fractures. The outcome was satisfactory, without complications. Conclusion Arthroscopic internal fixation is easy, and can achieve good results in the treatment of tibial plateau fractures.