关节镜下治疗胫骨平台骨折的临床研究

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。

Clinical Study on the Treatment of Tibial Plateau Fracture under Arthroscope

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＆lt;0.05）, after 1 year,the two groups had no statistically significant difference between patients with Rasmussen and HSS score（P＆gt;0.05）. Conclusion：ARIF treatment of tibial plateau fractures has well results,worthy of clinical application.