CAJ | 학술논문

目的：探讨膝关节镜引导下胫骨平台骨折的微创治疗效果。方法：笔者所在医院收治的50例胫骨平台骨折病者行膝关节镜引导下微创治疗，随访6个月，统计分析患者预后和并发症发生情况。结果：50例患者经X片检查显示在3.5个月左右骨性愈合，关节面平整，解剖复位正常，切口和关节内无感染，且也不存在创口延迟愈合、皮肤坏死及内固定物断裂或松动等并发症治。优42例(84.0%)，良4例(8.0%)，可接受2例(4.0%)，差2例(4.0%)，总体优良率为92.0%。其中Ⅱ~Ⅴ型优良率分别为100%(16例)、94.4%(17例)、60.0%(3例)和50.0%(1例)。结论：患者出现胫骨平台骨折时，及时在膝关节镜引导下做微创手术内固定，不仅减少发生严重并发症的概率，还加速愈合骨折，膝关节活动功能的恢复得到了提高，在临床上具有大规模推广应用的价值。
목적：탐토슬관절경인도하경골평태골절적미창치료효과。방법：필자소재의원수치적50례경골평태골절병자행슬관절경인도하미창치료，수방6개월，통계분석환자예후화병발증발생정황。결과：50례환자경X편검사현시재3.5개월좌우골성유합，관절면평정，해부복위정상，절구화관절내무감염，차야불존재창구연지유합、피부배사급내고정물단렬혹송동등병발증치。우42례(84.0%)，량4례(8.0%)，가접수2례(4.0%)，차2례(4.0%)，총체우량솔위92.0%。기중Ⅱ~Ⅴ형우량솔분별위100%(16례)、94.4%(17례)、60.0%(3례)화50.0%(1례)。결론：환자출현경골평태골절시，급시재슬관절경인도하주미창수술내고정，불부감소발생엄중병발증적개솔，환가속유합골절，슬관절활동공능적회복득도료제고，재림상상구유대규모추엄응용적개치。
Objective:To investigate the effect of minimally invasive treatment of tibial plateau fractures under the knee arthroscopic.Method:50 cases of tibial plateau fracture in our hospital was treated by minimally invasive under the knee arthroscopic,followed-up 6 months,prognosis of patients and complications were analysed.Result:50 patients with X examination showed that in 3.5 months the bone healed,articular surface was smooth,anatomic reduction was normal, no incision infection and joint,and there was no delayed wound healing,skin necrosis and breakage of internal fixation or loosening and other complications.The treatment effect was satisfactory,excellent in 42 cases(84.0%),good in 4 cases(4.0%),2 cases(4.0%) acceptable,poor in 2 cases(4.0%),the overall excellent and good rate was 91.9%.Ⅱ to Ⅴ of the excellent and good rate was 100%(16 cases),94.4%(17 cases),60.0%(3 cases) and 50.0%(1 case).Conclusion:Patients with tibial plateau fractures under arthroscope is timely minimally invasive internal fixation operation,not only reduces the probability of serious complications, but also accelerates the healing of fracture,knee joint function recovery was improved,with large-scale popularization and application value in clinic.