关节镜辅助下胫骨平台骨折的骨固定术
Arthroscopically assisted osteosynthesis for tibial plateau fractures.
作者信息
Hung Shuo S, Chao En-Kai, Chan Yi-Sheng, Yuan Li-Jen, Chung Peter C-H, Chen Chao-Yu, Lee Mel S, Wang Ching-Jen
机构信息
Department of Orthopedic Surgery, Chang Gung Memorial Hospital, Kweishan, Taoyuan, Taiwan.
出版信息
J Trauma. 2003 Feb;54(2):356-63. doi: 10.1097/01.TA.0000020397.74034.65.
BACKGROUND
Options for management of tibial plateau fracture are numerous, and the outcome depends on several factors. With the inherent advantages of arthroscopy, the results of tibial plateau fracture have been greatly improved.
METHODS
Thirty-one patients were treated with arthroscopically assisted reduction for tibial plateau fracture, with an average follow-up period of 3 years. Evaluations were performed with the Hospital for Special Surgery knee score clinically, and with the Ahlbäck scale for osteoarthritis radiographically.
RESULTS
Eighty percent of cases were Schatzker type II, III, or IV, and over half (52%) of the patients had concomitant intra-articular lesions. Twenty-nine patients (93.5%) had satisfactory results according to the Hospital for Special Surgery knee score, and only one patient developed degenerative arthritis during the period of follow-up.
CONCLUSION
The arthroscopically assisted reduction of tibial plateau fracture is a safe and promising procedure. The results are comparable to traditional methods of open reduction.
背景
胫骨平台骨折的治疗方法众多，其治疗结果取决于多种因素。由于关节镜具有固有的优势，胫骨平台骨折的治疗效果得到了显著改善。
方法
31例胫骨平台骨折患者接受了关节镜辅助复位治疗，平均随访时间为3年。临床采用特种外科医院膝关节评分进行评估，影像学采用阿尔贝克骨关节炎量表进行评估。
结果
80%的病例为Schatzker II型、III型或IV型，超过半数（52%）的患者伴有关节内损伤。根据特种外科医院膝关节评分，29例（93.5%）患者治疗效果满意，随访期间仅1例患者发生退行性关节炎。
结论
关节镜辅助复位治疗胫骨平台骨折是一种安全且有前景的方法。其治疗结果与传统切开复位方法相当。
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