Chase Rebecca, Usmani Kudret, Shahi Alisina, Graf Kenneth, Mashru Rakesh
Philadelphia College of Osteopathic Medicine, 4190 City Avenue, Suite 320, Philadelphia, PA 19131, USA.
Cooper University Hospital, Three Cooper Plaza, Suite 408, Camden, NJ 08103, USA.
Orthop Clin North Am. 2019 Jul;50(3):305-314. doi: 10.1016/j.ocl.2019.03.011. Epub 2019 Apr 19.
Arthroscopic reduction of tibial plateau fractures have been gaining in popularity. Advantages include accurate diagnosis and treatment of joint pathology, minimally invasive soft tissue dissection, quicker recovery of joint motion, and anatomic reduction of joint surface. Success depends on accurate fracture selection. With arthroscopic-assisted reduction of tibial plateau fractures, patient set-up is similar to standard knee arthroscopy, but the C-arm is used to aid with fracture reduction and fixation. Outcomes are comparable or even improved when compared with standard procedures, and morbidity with arthroscopic reduction can often be lower with decreased rates of infection, wound complications, and thromboembolism.
关节镜下复位胫骨平台骨折越来越受欢迎。其优点包括对关节病变进行准确诊断和治疗、微创软组织解剖、关节活动恢复更快以及关节面解剖复位。成功与否取决于准确的骨折选择。在关节镜辅助下复位胫骨平台骨折时,患者的体位设置与标准膝关节镜检查相似,但使用C形臂辅助骨折复位和固定。与标准手术相比,其结果相当甚至有所改善,而且关节镜下复位的发病率通常较低,感染、伤口并发症和血栓栓塞的发生率降低。