摘要
目的研究膝关节镜辅助微创内固定治疗胫骨平台骨折的临床疗效。方法选择滦县人民医院2009年11月—2011年2月收治的74例胫骨平台骨折患者作为研究对象,采用膝关节镜辅助微创内固定方法治疗,观察分析治疗效果。结果Ⅰ、Ⅱ型骨折患者的优良率为97.2%,Ⅲ、Ⅳ型骨折患者为78.9%,差异无统计学意义(P>0.05);Ⅰ、Ⅱ型骨折患者的骨折愈合时间明显短于Ⅲ、Ⅳ型,术后膝关节活动度明显优于Ⅲ、Ⅳ型,差异有统计学意义(P<0.05);Ⅰ、Ⅱ型骨折患者的并发症发生率为5.6%,Ⅲ、Ⅳ型骨折患者为7.9%,差异无统计学意义(P>0.05)。结论膝关节镜辅助微创内固定治疗胫骨平台骨折获得较佳的临床疗效且安全性好,尤其Ⅰ、Ⅱ型骨折患者能够获得良好的预后,是临床首选的治疗方案之一。
Objective To study the effect of tibial plateau fracture treated with arthroscopy assisted micro - invasive in- ternal fixation. Methods From November 2009 to February 2011 in our hospital, 74 cases of tibial plateau fracture were selected as research subjects, they were treated with arthroscopy assisted micro - invasive internal fixation, the treatment effect of two groups were observed and analyzed. Results The excellent and good rate of I, II type patients was 97.2%, and III, IV type patients was 78.9%, the difference was not statistically significant （ P 〉 0. 05） ; The fracture healing time of I, II type patients was significantly shorter than III, IV type patients, and the activity of knee joint was significantly better than II1, IV type patients, the differences were statistically significant （ P 〈 0. 05 ） ; The complication rate of I, II type patients was 5.6%, III, IV type patients was 7. 9%, the difference was not statistically significant （ P 〉 0.05）. Conclusions Tibia1 plateau fracture treated with arthroscopy assisted micro - invasive stabi- lization has better efficacy and good safety, especially I, II type fractures in patients with good prognosis, can be used as the first choice of clinical treatment.
出处
《医药论坛杂志》
2013年第2期31-33,共3页
Journal of Medical Forum
关键词
胫骨平台骨折
关节镜
微创内固定
Tibial plateau fracture
Arthroscopy
Micro - invasive internal fixation
