中国医学创新
中國醫學創新
중국의학창신
MEDICAL INNOVATION OF CHINA
2014年
10期
40-42
,共3页
关节镜%手术%胫骨平台%骨折
關節鏡%手術%脛骨平檯%骨摺
관절경%수술%경골평태%골절
Arthroscopy%Surgery%Tibial Plateau%Fracture
目的：探讨关节镜下治疗胫骨平台骨折的临床意义。方法：选取2009年11月-2013年8月在本院行手术治疗的60例胫骨平台骨折患者，按照手术方式不同分为关节镜辅助复位内固定（ARIF）组和切开复位内固定（ORIF）组各30例，ARIF组采用膝关节镜辅助手术治疗，ORIF组采用切开复位内固定术治疗，比较两组患者术中和术后指标，并对其进行长期随访，按照Rasmussen和HSS系统，比较两组患者膝关节功能的恢复情况。结果：ARIF组的患者切口长度、住院时间及伤口愈合时间均明显少于ORIF组，差异均有统计学意义（P<0.05）；术后1年，两组患者Rasmussen和HSS评分比较差异均无统计学意义（P>0.05）。结论：ARIF技术治疗胫骨平台骨折具有良好的效果，值得临床推广应用。
目的：探討關節鏡下治療脛骨平檯骨摺的臨床意義。方法：選取2009年11月-2013年8月在本院行手術治療的60例脛骨平檯骨摺患者，按照手術方式不同分為關節鏡輔助複位內固定（ARIF）組和切開複位內固定（ORIF）組各30例，ARIF組採用膝關節鏡輔助手術治療，ORIF組採用切開複位內固定術治療，比較兩組患者術中和術後指標，併對其進行長期隨訪，按照Rasmussen和HSS繫統，比較兩組患者膝關節功能的恢複情況。結果：ARIF組的患者切口長度、住院時間及傷口愈閤時間均明顯少于ORIF組，差異均有統計學意義（P<0.05）；術後1年，兩組患者Rasmussen和HSS評分比較差異均無統計學意義（P>0.05）。結論：ARIF技術治療脛骨平檯骨摺具有良好的效果，值得臨床推廣應用。
목적：탐토관절경하치료경골평태골절적림상의의。방법：선취2009년11월-2013년8월재본원행수술치료적60례경골평태골절환자，안조수술방식불동분위관절경보조복위내고정（ARIF）조화절개복위내고정（ORIF）조각30례，ARIF조채용슬관절경보조수술치료，ORIF조채용절개복위내고정술치료，비교량조환자술중화술후지표，병대기진행장기수방，안조Rasmussen화HSS계통，비교량조환자슬관절공능적회복정황。결과：ARIF조적환자절구장도、주원시간급상구유합시간균명현소우ORIF조，차이균유통계학의의（P<0.05）；술후1년，량조환자Rasmussen화HSS평분비교차이균무통계학의의（P>0.05）。결론：ARIF기술치료경골평태골절구유량호적효과，치득림상추엄응용。
Objective:To investigate the clinical significance of treatment of tibial plateau fractures under arthroscopy. Method:60 cases of tibial plateau fractures underwent surgical treatment were selected in our hospital from November 2009 to August 2013,they were divided into the arthroscopically assisted fixation group(ARIF)and open reduction and internal fixation group(ORIF)according to the different operation mode,30 cases in each group.The ARIF group was treated with arthroscopy assisted surgery,and the ORIF group was treated with open reduction and internal fixation,the intraoperative and postoperative indicators between the two groups were compared.All patients were followed up,the recovery of patients knee function were compared according to Rasmussen and HSS systems.Result:ARIF patients incision length,length of stay and wound healing time were significantly less than the ORIF group,the differences were statistically significant(P<0.05), after 1 year,the two groups had no statistically significant difference between patients with Rasmussen and HSS score(P>0.05). Conclusion:ARIF treatment of tibial plateau fractures has well results,worthy of clinical application.
