Jennings J E
Arthroscopy. 1985;1(3):160-8. doi: 10.1016/s0749-8063(85)80003-7.
Twenty-one tibial plateau fractures with 1 to 5 years follow-up are reviewed for the purpose of demonstrating the positive impact arthroscopy can have on patients sustaining this injury. Controversy between open and nonopen management has existed for decades. Arthroscopy bridges that controversy, allowing the advantages of accurate reduction and rigid fixation without extensive operative exposure. In addition, arthroscopy allows thorough lavage, removal of loose fragments, and accurate diagnosis of associated intraarticular pathology. Since extensive exposure is avoided, rapid recovery with reduced pain and early full range of motion is achieved in patients managed arthroscopically. Biomechanics of rigid percutaneous internal and external fixation are presented to demonstrate that no principles are compromised in arthroscopic management. Associated meniscal and ligamentous injuries in this series are treated either arthroscopically or through secondary accessory incisions. Fractures are classified as to the applicability of arthroscopic management.
回顾21例随访1至5年的胫骨平台骨折病例，目的是证明关节镜检查对遭受此类损伤的患者所产生的积极影响。开放治疗与非开放治疗之间的争议已存在数十年。关节镜检查消除了这一争议，在无需广泛手术暴露的情况下，兼具精确复位和坚强内固定的优点。此外，关节镜检查可实现彻底冲洗、清除游离碎片以及准确诊断相关关节内病变。由于避免了广泛暴露，接受关节镜治疗的患者能够快速康复，疼痛减轻，并能早期实现全范围活动。介绍了经皮坚强内固定和外固定的生物力学原理，以证明关节镜治疗未违背任何原则。本系列病例中合并的半月板和韧带损伤，均通过关节镜检查或辅助小切口进行治疗。根据关节镜治疗的适用性对骨折进行分类。
