关节镜辅助下经皮内固定与传统切开复位内固定治疗SchatzkerⅠ~Ⅳ型胫骨平台骨折的疗效对比

摘要

Objective To compare the efficacy of arthroscopic assisted percutaneous plate osteosynthesis and conventional open reduction and plate internal fixation in treatment of tibial plateau fractures of SchatzkerⅠ ~ Ⅳ . Methods Clinical data of 60 patients with tibial plateau fractures from July 2014 to July 2016 was retrospectively analyzed. All the patients were divided into observation group (30 cases) and control group (30 cases). Patients in observation group underwent arthroscopic assisted percutaneous internal fixation surgery, while patients in control group underwent conventional open reduction and plate internal fixation. Then record the operation index, the incidence of postoperative complications, maximum active angle of knee joint and the excellent rate of treatment. Results The operation index, postoperative complication rate, maximum active angle of knee joint and the treatment excellence rate in observation group was superior to control group. Conclusion With better clinical value, arthroscopic assisted percutaneous plate fixation was more satisfactory than conventional open reduction and plate internal fixation in treatment of tibial plateau fractures of Schatzker Ⅰ ~ Ⅳ .%目的 探讨关节镜辅助下经皮钢板内固定与传统切开复位钢板内固定治疗SchatzkerⅠ~Ⅳ型胫骨平台骨折的疗效对比.方法 回顾性分析2014年7月-2016年7月该院收治的胫骨平台骨折患者60例的临床资料,其中采用关节镜辅助下经皮钢板内固定手术方式30例(观察组),采用传统切开复位钢板内固定手术方式30例(对照组),分别记录两组患者的手术指标、术后并发症发生率、膝关节最大活动角度及治疗优良率.结果 观察组在手术指标及术后并发症发生率上优于对照组,观察组在膝关节最大活动角度及治疗优良率上优于对照组.结论 通过临床观察,关节镜辅助下经皮钢板内固定比传统切开复位钢板内固定在治疗SchatzkerⅠ~Ⅳ型胫骨平台骨折上获得了更加满意的手术疗效,具有较好的临床应用价值.