CAJ | 학술논문

目的：：探讨膝关节镜引导微创复位内固定在治疗胫骨平台骨折中的效果和临床价值。方法：选取2011年1月至2013年12月间本院收治的64例胫骨平台骨折患者，分为实验组和对照组，每组32例，实验组采用膝关节镜引导微创复位内固定治疗，对照组采用传统的切开复位内固定治疗。比较两组患者的恢复优良率，手术出血量，切口长度，骨折愈合时间。结果：实验组的功能恢复情况优良率较对照组患者的高，在出血量、手术切口长度及骨折愈合时间方面，也较对照组患者少、短。差异均具有统计学意义( P<0.05)。结论：胫骨平台骨折在膝关节镜引导下微创复位内固定治疗具有很高的临床应用价值，是安全和有效的，值得临床推广应用。
목적：：탐토슬관절경인도미창복위내고정재치료경골평태골절중적효과화림상개치。방법：선취2011년1월지2013년12월간본원수치적64례경골평태골절환자，분위실험조화대조조，매조32례，실험조채용슬관절경인도미창복위내고정치료，대조조채용전통적절개복위내고정치료。비교량조환자적회복우량솔，수술출혈량，절구장도，골절유합시간。결과：실험조적공능회복정황우량솔교대조조환자적고，재출혈량、수술절구장도급골절유합시간방면，야교대조조환자소、단。차이균구유통계학의의( P<0.05)。결론：경골평태골절재슬관절경인도하미창복위내고정치료구유흔고적림상응용개치，시안전화유효적，치득림상추엄응용。
Objective:To discuss the effect and clinical value of knee arthroscopic fixation in the treat-ment of tibial plateau fracture reduction. Method: Selected 64 patients with fracture of tibial plateau from January 2011 to December 2013 in our hospital,and they were divided into the experimental group and the control group, 32 cases in each group,the experimental group was used the arthroscopic guided minimally in-vasive reduction and internal fixation treatment,the control group was used traditional internal fixation. And then compared the rate of good recovery of two groups of patients, surgical blood loss, length of incision, fracture healing time. Result:The rate of good functional recovery in the patients of experimental group were higher than the control group,the experimental group were less than the control group in the bleeding and fracture healing time, incision length.The differences had statistically significant (P < 0.05).Conclusion:Tibial plateau fracture with arthroscope minimally invasive reduction and internal fixation has high clinical value,it is safe and effective, and worthy of clinical use.