CAJ | 학술논문

26例胫骨平台骨折患者均在关节镜辅助下复位、于关节面下植骨，并采用钢板固定治疗。手术时间平均为65 min （70 min～120 min），骨折愈合时间平均为15周（12周～17周）。关节面解剖复位率为92.9%。采用Merchant膝关节功能评分标准评定疗效：优18例，良6例，可2例，优良率为92.3%。无感染、深静脉血栓形成及小腿骨筋膜室综合征等并发症发生。结论为关节镜下治疗胫骨平台骨折具有创伤小、检查直观、复位精确等优点，患者功能恢复满意，具有一定临床应用价值。
26례경골평태골절환자균재관절경보조하복위、우관절면하식골，병채용강판고정치료。수술시간평균위65 min （70 min～120 min），골절유합시간평균위15주（12주～17주）。관절면해부복위솔위92.9%。채용Merchant슬관절공능평분표준평정료효：우18례，량6례，가2례，우량솔위92.3%。무감염、심정맥혈전형성급소퇴골근막실종합정등병발증발생。결론위관절경하치료경골평태골절구유창상소、검사직관、복위정학등우점，환자공능회복만의，구유일정림상응용개치。
Twenty six patients with fracture of tibial plateau was under arthroscopy assisted reduction, the joint surface of bone graft, and USES the steel plate fixation treatment. Average surgery time was 65 min (70~120 min), average fracture healing time was 15 weeks (12~17 weeks), joint surface anatomical reattachment rate was 92.9%. Using break knee function criteria evaluation of curative effect: 18 cases great 6 cases wed, 2 cases ok, fine rate was 92.3%. No infection, deep venous thrombosis and smal leg fascia chamber syndrome and other complications. Conclusion is that treatment of tibial plateau fractures under arthroscope has advantages of smal trauma, check intuitively and reset accurately, functional recovery of patients are satisfied, the treatment has certain clinical application value.