Itokazu M, Matsunaga T, Ishii M, Kusakabe H, Wyni Y
Department of Orthopaedic Surgery, Gifu University School of Medicine, Japan.
Arch Orthop Trauma Surg. 1996;115(1):45-8. doi: 10.1007/BF00453217.
Tibial plateau fractures in 17 patients were managed arthroscopically, using interporous hydroxypatite (HA) as a bone graft substitute. Soft-tissue repair and intra-articular lavages were carried out arthroscopically, and depression of the articular surface was done by elevation of the subchondral plate by the bone compactor through a small window under image intensification and filling with HA through the tibial outer rim. Follow-up periods averaged 2 years and 6 months. According to roentgenograms and computed tomograms no development of arthrosis could be found. All of the patients have been followed to fracture union and have returned to their previous activity levels.
对17例胫骨平台骨折患者采用关节镜治疗，使用多孔羟基磷灰石（HA）作为骨移植替代物。通过关节镜进行软组织修复和关节内灌洗，在影像增强器引导下，通过一个小窗口用骨压实器抬起软骨下骨板以纠正关节面塌陷，并通过胫骨外缘填充HA。随访期平均为2年6个月。根据X线片和计算机断层扫描，未发现关节病进展。所有患者均随访至骨折愈合，并恢复到之前的活动水平。
