O'Dwyer K J, Bobic V R
Princess Elizabeth Orthopaedic Hospital, Exeter, UK.
Injury. 1992;23(4):261-4. doi: 10.1016/s0020-1383(05)80012-9.
Ten tibial plateau fractures treated arthroscopically are reported. In eight cases, closed internal fixation was performed under arthroscopic control while in another two patients, arthroscopic washout alone was undertaken. Only one case required external splintage (a cast brace), the remainder being mobilized non-weight-bearing without plaster immediately after the operation. The results were good. We suggest that the arthroscope is a useful tool in the treatment of these fractures and provides information not otherwise available. There is a low morbidity, inpatient stay is short and early joint movement can be encouraged.
本文报告了10例经关节镜治疗的胫骨平台骨折。其中8例在关节镜控制下进行了闭合内固定，另外2例仅进行了关节镜冲洗。仅1例需要外部夹板固定（石膏支架），其余患者术后立即进行非负重活动且未使用石膏。结果良好。我们认为关节镜是治疗这些骨折的有用工具，能提供其他方法无法获得的信息。发病率低，住院时间短，且可促进早期关节活动。
