临床骨科杂志2017，Vol.20Issue(2)：202-205,4.DOI:10.3969/j.issn.1008-0287.2017.02.029
膝关节镜下MIPPO技术治疗胫骨平台Schatzker Ⅱ~Ⅴ型骨折的临床疗效
Clinical application of arthroscopic-assisted reduction and MIPPO technique in the treatment of tibial plateau Schatzker type Ⅱ~Ⅴ fracture
摘要
Abstract
Objective To explore the therapeutic effect of arthroscopic-assisted reduction and minimally invasive percutaneous plate osteosynthesis (MIPPO) on the treatment of Schatzker type Ⅱ~Ⅴ tibial plateau fractures.Methods Thirty-three cases of tibial plateau fractures were classified by Schatzker classification.All patients received articular surface reduction with arthroscopic-assisted reduction and MIPPO technique.The meniscus injury were reshaped or repaired, the anterior cruciate ligament insertion fractures were fixed at one-stage operation, while the anterior and posterior cruciate ligament rupture was reconstructed after the bone union.Results The patients were all followed up for 18~32 months.All the fractures reached bone healing after 3~5 months.At the final follow-up, the active range of the knee was extention 0° and flexion 100°~130°.The final follow-up Rasmussen score was 23~28 (25.7±1.5) points.The function of the joint was excellent in 25 cases, good in 8 cases.Conclusions The arthroscopic-assisted reduction and MIPPO technique has advantages in the diagnosis of intra-articular fracture, reduction of the articular surface, minimal invasive aspect and quick functional recovery for the treatment of Schatzker type Ⅱ~Ⅴ tibial plateau fractures.关键词
胫骨平台骨折/关节镜检查/微创经皮钢板内固定Key words
tibial plateau fracture/arthroscopy/minimally invasive percutaneous plate osteosynthesis分类
医药卫生引用本文复制引用
谢水安,庄泽,徐如彬,孙世伟,杨隆,王健..膝关节镜下MIPPO技术治疗胫骨平台Schatzker Ⅱ~Ⅴ型骨折的临床疗效[J].临床骨科杂志,2017,20(2):202-205,4.基金项目
广东省卫计委医学科研基金(编号:A2016066) （编号:A2016066）
