CAJ | 학술논문

目的：探讨在关节镜辅助下对胫骨平台骨折进行微创治疗的手术方法及临床疗效。方法关节镜监视下对32例胫骨平台骨折患者（ Schatzker Ⅰ～Ⅳ型）进行复位固定。结果32例均获得随访，时间4～39个月。术后3～6个月骨折均完全愈合，未出现关节内感染、骨筋膜室综合征、关节强直等并发征。术后9个月关节功能按HSS评分：优25例，良7例。结论在关节镜辅助下对胫骨平台骨折进行复位和微创钢板接骨术损伤小，复位固定确切，有利于膝关节功能早期恢复，疗效满意。
목적：탐토재관절경보조하대경골평태골절진행미창치료적수술방법급림상료효。방법관절경감시하대32례경골평태골절환자（ Schatzker Ⅰ～Ⅳ형）진행복위고정。결과32례균획득수방，시간4～39개월。술후3～6개월골절균완전유합，미출현관절내감염、골근막실종합정、관절강직등병발정。술후9개월관절공능안HSS평분：우25례，량7례。결론재관절경보조하대경골평태골절진행복위화미창강판접골술손상소，복위고정학절，유리우슬관절공능조기회복，료효만의。
Objective To explore the surgical method and effect of arthroscopy assisted minimally invasive therapy in the treatment of tibial plateau fractures .Methods Under arthroscopy surveillance ,32 patients with tibial plateau fracture ( Schatzker Ⅰ-Ⅳ) were taken reduction and fixation .Results All cases were followed up for 4-39 months .All fractures were unitied 3-6 months after operation ,and no joint infection compartment syndrome or ankylo-sis occurred.The results were excellent in 25 patients,good in 7 cases according to the HSS evaluating system 9 months after operation .Conclusion For tibial plateau fractures under arthroscopy assisted reduction and minimally invasive plate osteosynthesis has little injury ,exact reset fixation ,early recovery of the knee joint function ,the curative effect is satisfied .