Oğuz Erbil, Yanmiş Ibrahim, Kürklü Mustafa, Ateşalp A Sabri, Yildiz Cemil
Gülhane Askeri Tip, Akademisi Ortopedi ve Travmatoloji Anabilim Dali.
Acta Orthop Traumatol Turc. 2007;41(1):1-6.
We evaluated the results of arthroscopically assisted circular external fixation in bicondylar tibial plateau fractures.
The study included 13 patients (12 males, 1 female; mean age 27 years; range 18 to 37 years) who were treated with circular external fixation under arthroscopic control for bicondylar tibial plateau fractures. The causes of fractures were traffic accidents in nine cases, sport injuries in two cases, and fall from height in two cases. Eight patients had open fractures. The mean time from injury to presentation was two days. Soft tissue injuries were treated with curettage and excision. The fractures were classified according to the Schatzker's system. Functional results were assessed using the knee scoring system of Lysholm and Gillquist. The mean follow-up period was 35 months (range 16 to 38 months).
There was no neurovascular pathology in any of the cases preoperatively and postoperatively. Lysholm and Gillquist knee scores were very good in two patients, good in six patients, moderate in four patients, and poor in one patient. The mean knee score was 82.46. The patient with the poor result had significant limitation in knee extension and flexion. Postoperative complications included superficial soft tissue infection in two patients and pin tract infection in six patients.
Arthroscopically assisted circular external fixation of bicondylar tibial plateau fractures is efficient to obtain satisfactory functional results.
我们评估了关节镜辅助下环形外固定治疗双髁胫骨平台骨折的效果。
本研究纳入13例患者（12例男性，1例女性；平均年龄27岁；年龄范围18至37岁），这些患者接受了关节镜控制下的环形外固定治疗双髁胫骨平台骨折。骨折原因包括9例交通事故、2例运动损伤和2例高处坠落。8例患者为开放性骨折。从受伤到就诊的平均时间为2天。软组织损伤采用刮除和切除治疗。骨折根据Schatzker系统进行分类。使用Lysholm和Gillquist膝关节评分系统评估功能结果。平均随访期为35个月（范围16至38个月）。
所有病例术前和术后均未出现神经血管病变。Lysholm和Gillquist膝关节评分中，2例患者为优，6例患者为良，4例患者为中，1例患者为差。膝关节平均评分为82.46。结果差的患者膝关节屈伸明显受限。术后并发症包括2例患者出现浅表软组织感染，6例患者出现针道感染。
关节镜辅助下环形外固定治疗双髁胫骨平台骨折能有效获得满意的功能结果。
