中国现代手术学杂志2017，Vol.21Issue(1)：44-47,4.DOI:10.16260/j.cnki.1009-2188.2017.01.011
经膝关节镜引导小切口与传统内固定手术治疗胫骨平台骨折的疗效比较分析
Efficacy and Safety of Knee Arthroscopy Guided Mini-incision Surgery and Traditional Internal Fixation for Tibial Plateau Fractures
摘要
Abstract
Objective To compare the efficacy and safety of knee arthroscopy guided mini-incision surgery and traditional internal fixation for tibial plateau fractures.Methods From November 2014 to August 2016,there were 82 patients with tibial plateau fractures randomly divided into the observation group and the control group,with 41 cases for each.The patients in the observation group were treated with knee arthroscopy guided mini-incision internal fixation,and the control group was treated by traditional internal fixation.The operation related results,knee function recovery and complications were compared between the two groups.Results The amount of intraoperative blood loss and postoperative drainage in the observation were significantly less than the control group,and operation time,the duration to first out of bed after operation,length of hospital stay and fracture healing time were obviously shorter than that of control group.And the difference was significant (P ＜ 0.05).After 2 months and 4 months,the maximum angle of knee extension and the maximum angle of knee flexion were significantly higher in the observation group than that of the control group.And the difference was significant (P ＜ 0.05).The excellent and good rate of the knee joint in the observation group was significantly higher than that of the control group,and the complication rate was significantly lower than the control group.And the differences were significant (P ＜ 0.05).Conclusion Surgical treatment of tibial plateau fractures with knee arthroscopy guided mini-incision internal fixation has the advantages of less trauma,quicker recovery,better recovery of knee function and higher operative safety,which is value of more clinical promotion.关键词
胫骨骨折/关节镜检查/内固定器Key words
tibial fractures/arthroscopy/internal fixators分类
医药卫生引用本文复制引用
孙敏,戚超,于腾波..经膝关节镜引导小切口与传统内固定手术治疗胫骨平台骨折的疗效比较分析[J].中国现代手术学杂志,2017,21(1):44-47,4.
