关节镜辅助微创手术与切开复位内固定术治疗胫骨平台骨折的疗效比较

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1、关节镜辅助微创手术与切开复位内固定术治疗胫骨平台骨折的疗效比较202?生館9卷第3期JClinSurg,March2011.Vo1.19.N0.3关节镜辅助微创手术与切开复位内固定术治疗胫骨平台骨折的疗效比较梁军刘安民［摘要］目的比较关节镜辅助微创手术与切开复位内固定术治疗胫骨平台骨折的临床疗效•方法对我院2006年2月至2009年1O月分别采用关节镜辅助微创手术和切开复位内固定术治疗胫骨平台骨折的病例进行回顾性研究，比较两种治疗方法术后并发症，骨折愈合时间,Ras—mussen膝关节功能评分情况.结果微创组骨折优良率为88.6%,明显优于手术组的66.7%

2、(P<0.05);并发症发生率17.14%,明显少于手术组27.28%;骨折临床愈合时间微创组平均8.5周，明显短于手术组10周(P<0.05);Rasmussen膝关节功能评分微创组平均24.78分，高于手术组21.85分(P<0.05).结论关节镜辅助微创手术治疗Schatzker分型I,II,III,IV型胫骨平台骨折较切开复位内固定术能明显缩短骨折愈合时间，改善术后关节功能，减少并发症的发牛，提高疗效.［关键词］胫骨骨折;关节镜;微创外科手术;内固定器［中图分类号］R653［文献标识码］A［DOI］10.3969/j.issn.10

3、05-6483.2011.03.025Arthroscopicassistedminimallyinvasivesurgerycomparedwithopenreductionandinternalfixa-lionfortibialplateaufractureHANGJun.UAn—min.(DepartmentofOrthopaedics,theSecondPeo一ple&HospitaloftheJingmen,Jingmen448000,China)[Abstract]ObjectiveTocomparetheefficacyofarthr

4、oscopicassistedminimallyinvasivesurgerywiththatofopenreductionandinternalfixation(ORIF)fortibialplateaufracture.MethodsClinicaldataofpatientswithtibialplateaufracturewhounderwentarthroscopicassistedminimallyinvasivesurgeryorORIFinourhospitalfromFebruary2006toOctober2009wereretrospe

5、ctivelyanalyzed.Thecomplications,fractureshealingtimeandRasmussenkneefunctionscoreswerecomparedbetweenthetwogroups.ResultsTheefficaciesreached88.6%inthearthroscopicassistedminimanyinvasivesurgerygroup.sig一nificantlyhigherthanthatintheORIFgroup(66.7%)(P<0.05)・Thecomplicationnite

6、was17.14%intheminimallyinvasivegroupJowerthanthatintheORIFgroup(27.28%).Thehealingtimeofminimallyinvasivegroupwas8.5weeks.shorterthan1OweeksintheORIFgroup(P<0.05).Rasmussenkneefunctionscorewas24.78intheminimallyinvasivegroup,higherthanthatintheORIFgroup(21.85)(P<0.05).Conclus

7、ionArthroscopicassistedminimallyinvasivesurgery,comparedtoORIF,canshort一enthehealingtimejmprovepostoperativejointfunctionandreducecomplicationsandimprovetheefficacyinthetreatmentofSchatzkertypel,IIJllJVtibialplateaufractures.[Keywords]tibialfractures;arthroscopes;minimallyinvasive;

8、internalfixators胫骨平台骨折是一种比