Please wait a minute...

中国现代手术学杂志  2017, Vol. 21 Issue (1): 44-47    DOI: 10.16260/j.cnki.1009-2188.2017.01.011
  临床论著 |
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
孙敏，戚超，于腾波
青岛大学附属医院骨科， 青岛 266000
Efficacy and Safety of Knee Arthroscopy Guided Miniincision Surgery and Traditional Internal Fixation for Tibial Plateau Fractures
SUN Min, QI Chao, YU Tengbo
Department of Orthopedics, the Affiliated Hospital of Qingdao University, Qingdao 266000, Shandong, China
下载:  RICH HTML  PDF (187KB) 
输出:  BibTeX | EndNote (RIS)      
摘要 目的对比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效果。 方法将2014年11月~2016年8月期间的82例胫骨平台骨折患者随机分成观察组与对照组，观察组采用经膝关节镜引导小切口内固定手术治疗，对照组采用传统内固定手术治疗，比较两组的手术情况、膝关节功能恢复以及并发症发生情况。结果观察组的术中出血量、术后引流量明显少于对照组，手术时间、首次下床活动时间、骨折愈合时间以及住院时间明显短于对照组，比较差异具有显著性（P＜0.05）；术后2个月以及4个月后，观察组伸膝最大角度和屈膝最大角度均明显高于对照组，比较差异具有显著性（P＜0.05）；观察组治疗后的膝关节优良率明显高于对照组，并发症发生率明显低于对照组，比较差异具有显著性（P＜0.05）。结论经膝关节镜引导小切口内固定手术治疗胫骨平台骨折手术创伤小，术后恢复快，膝关节功能恢复好，安全性高。
服务
把本文推荐给朋友
加入引用管理器
E-mail Alert
RSS
作者相关文章
SUN Min
QI Chao
YU Tengbo
关键词:  胫骨骨折  关节镜检查  内固定器    
Abstract: ObjectiveTo compare the efficacy and safety of knee arthroscopy guided miniincision surgery and traditional internal fixation for tibial plateau fractures.MethodsFrom 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.ResultsThe 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).ConclusionSurgical 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.
Key words:  tibial fractures    arthroscopy    internal fixators
               出版日期:  2017-02-26      发布日期:  2018-05-25      期的出版日期:  2017-02-26
ZTFLH:  R683.4  
通讯作者:  于腾波，男，47岁，青岛大学   
作者简介:  孙敏,男,29岁, 青岛大学附属医院骨科医师,医学硕士。
引用本文:    
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.
SUN Min, QI Chao, YU Tengbo. Efficacy and Safety of Knee Arthroscopy Guided Miniincision Surgery and Traditional Internal Fixation for Tibial Plateau Fractures. Chinese Journal of Modern Operative Surgery, 2017, 21(1): 44-47.
链接本文:  
http://www.surgerychina.com/CN/10.16260/j.cnki.1009-2188.2017.01.011  或          http://www.surgerychina.com/CN/Y2017/V21/I1/44
［1］ 叶方, 兰树华, 吴泉州, 等. 膝关节镜辅助下内固定治疗后外侧胫骨平台骨折的疗效分析［J］. 中国内镜杂志, 2016, 22(8):2528.
［2］ 赵森, 卫小春. 关节镜下微创治疗与切开复位内固定治疗胫骨平台骨折疗效的Meta分析［J］. 中国骨与关节杂志, 2014,29(5):385389.
［3］ 王健, 唐晓波, 董佩龙. 胫骨平台骨折关节镜监视下复位内固定与切开复位内固定的疗效比较［J］. 中华关节外科杂志电子版, 2013, 7(4):2729.
［4］ 庾明. 关节镜下微创锁定钢板固定与切开复位钢板内固定治疗胫骨平台骨折疗效比较［J］. 海南医学, 2014,25(10):14411444.
［5］ 傅俊伟, 陈卓, 吴俊彪, 等. 关节镜辅助下微创手术治疗胫骨平台骨折48例［J］. 中国骨与关节损伤杂志, 2014, 29(12):12711272.
［6］ 曾智敏, 陶崑, 凌晶, 等. 关节镜辅助下微创内固定治疗SchatzkerⅢ型胫骨平台骨折［J］. 中国骨与关节损伤杂志, 2013, 28(2):4142.
［7］ 王玮, 金先跃, 庄小强, 等. 关节镜监视与切开复位钢板内固定治疗低能量胫骨平台骨折的疗效比较［J］. 中国内镜杂志, 2013, 19(4):359362.
［8］ 代红国, 姚国仕, 李冀, 等. 关节镜下治疗胫骨平台骨折［J］. 临床骨科杂志, 2013, 16(5):590590.
［9］ 赵朝清, 焦丽, 陈亮. 关节镜辅助小切口内固定治疗胫骨平台骨折39例［J］. 中国骨与关节损伤杂志, 2014, 29(2):141143.
［10］ 陈星佐, 林朋, 刘成刚, 等. 关节镜辅助复位内固定治疗胫骨平台骨折的研究进展［J］. 中华创伤骨科杂志, 2014, 16(7):622624.
[1] 关雪, 吴隆延. 开放与闭合复位髓内钉内固定对股骨干骨折的疗效及安全性比较[J]. 中国现代手术学杂志, 2017, 21(6): 436-439.
[2] 徐海涛, 朱威宏, 曹斌, 舒子震. 关节镜引导下植骨、缝线内固定治疗胫骨髁间嵴骨折不愈合[J]. 中国现代手术学杂志, 2017, 21(6): 445-448.
[3] 秦卫，胡丹，司卫兵，焦健. 经伤椎置钉手术治疗单节段胸腰椎骨折的临床研究[J]. 中国现代手术学杂志, 2017, 21(5): 387-390.
[4] 彭辉，庄小强，陆生林，白宇，方旭，黄晖. ROI-C前路手术治疗无椎节不稳、骨折或脱位TCDH临床疗效观察[J]. 中国现代手术学杂志, 2017, 21(4): 274-278.
[5] 刘晓辉，张雷，谢获. 关节镜下空心螺钉治疗前交叉韧带胫骨止点撕脱骨折疗效观察[J]. 中国现代手术学杂志, 2017, 21(4): 292-295.
[6] 马振华, 李云, 徐迈, 刘玉新. 肘关节镜术后失败原因分析及对策[J]. 中国现代手术学杂志, 2017, 21(3): 197-200.
[7] 屈巍, 胡慧敏, 宋宗让, 郝定均, 吴起宁, 刘继军, 王欣文. 单纯后路松解寰枢椎弓根钉棒复位固定治疗难复性寰枢椎脱位[J]. 中国现代手术学杂志, 2017, 21(3): 201-205.
[8] 周建国1，周华朝2，张武2，孙静锋3. 关节镜手术改善半月板退行性撕裂伤疼痛的荟萃分析[J]. 中国现代手术学杂志, 2017, 21(1): 31-35.
No Suggested Reading articles found!
Viewed
Full text


Abstract

Cited
  Shared   
  Discussed   
湘ICP备17023899号-1