摘要
目的研究胫骨平台骨折应用关节镜和经皮微创锁定钢板固定治疗的效果分析。方法回顾性分析我院2011年3月-2014年6月收治的78例胫骨平台骨折患者,其中行切开复位治疗患者38例为A组,行关节镜和经皮微创锁定钢板固定（MIPPO）治疗患者40例为B组。比较两组治疗效果、Rasmussen评分优良率以及术后并发症。结果 A组和B组的手术时间无显著差异（p〉0.05）;B组的住院时间、手术切口长度、愈合时间优于A组,差异显著有统计学意义（p〈0.05）;随访后观察,B组Rasmussen评分优良率显著高于A组,有统计学意义（p〈0.05）。结论关节镜和经皮微创锁定钢板固定术具有手术创面小、术后恢复快且并发症少的优点,对于治疗胫骨平台骨折的疗效好,具有较好的临床应用价值。
Objective To study the effect of arthroscopy in conjunction with minimally invasive percutaneous plate osteosynthesis（ MIPPO） in the treatment of tibial plateau fracture. Methods 78 cases of tibial plateau fracture patients admitted during March 2011 and June 2014 were retrospectively analyzed,with 38 cases given the conventional open reduction treatment（ group A） and 40 given arthroscopy in conjunction with MIPPO（ group B）. The clinical efficacy,Rasmussen excellent rate and good rate,and postoperative complications in both groups were then compared. Results The operative time showed no significant difference in both groups（ p〉0. 05）; the time of hospitalization,the length of surgical incision and healing time of group B were significantly better than group A（ p〈0. 05）;after follow- up observation,Rasmussen excellent rate and good rate of group B were significantly higher than group A（ p〈0. 05）. Conclusion Arthroscopic in conjunction with MIPPO has the advantages of smaller surgical wound,faster recovery and fewer complications,and have good efficacy and better clinical value for the treatment of tibial plateau fractures.
出处
《现代医院》
2015年第1期38-39,共2页
Modern Hospitals
