关节镜监视下手术治疗胫骨平台塌陷骨折22例临床分析 |
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引用本文: | 曾焱.关节镜监视下手术治疗胫骨平台塌陷骨折22例临床分析[J].中国伤残医学,2014(11):2-4. |
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作者姓名: | 曾焱 |
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作者单位: | 湖南旺旺医院骨科,湖南长沙410000 |
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摘 要: | 目的:对胫骨平台塌陷骨折关节镜辅助诊断和治疗方法进行初步探讨。方法:2006年5月~2010年7月对22例胫骨平台塌陷骨折病人关节镜辅助下手术治疗。即常规关节镜检查,根据关节镜检查所见,对软骨损伤、半月板损伤、滑膜炎、韧带撕裂进行关节镜下修复、清理,且关节镜监视下进行骨折复位和固定。其中男18例,女4例,年龄22~55岁;车祸伤16例,跌伤4例,坠落伤2例。外侧髁塌陷骨折18例,内侧髁塌陷骨折4例,以外翻性损伤多见。所有病例均为单髁、闭合性损伤,于2~6天内手术治疗。结果:本组22例,所有病人骨折均解剖复位,经随访5~18个月骨折均愈合,骨块未出现移位、塌陷,未见创伤性关节炎发生。疗效:优16例,良3例,中3例;优良率86.3%。结论:关节镜辅助下手术治疗胫骨平台塌陷骨折,重视关节软骨损伤和半月板损伤的治疗,具有手术损伤小、平台塌陷骨折对位确切、术后恢复快等优点,提高了诊疗效果。
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关 键 词: | 关节镜 胫骨平台骨折 复位内固定 |
Arthroscopic treatment of tibial plateau fracture of 22 cases |
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Institution: | ZHENG Yan (Department of orthopedics , Hunan wangwang hospital, Hunan 410000) |
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Abstract: | objective:Discussed the methods of diagnosis and treatment tibial plateau fracture by Arthroscopic .Methods:2006 .5-2010 .7 , 22 cases of tibial plateau fracture patients collapse assisted arthroscopic surgery .The conventional arthroscopy , seen under arthroscopy , cartilage injury , meniscus injury ,synovitis , arthroscopic ligament tear for repair , cleaning , and fracture under arthroscopic reduction and fixation.Including 18 males and 4 females, aged 22 to 55 years;traffic accident in 16 cases, 4 cases of falls, fall injuries in 2 cases.Collapse of the lateral condyle fracture in 18 cases,4 cases of fracture of the medial condyle of collapse , Valgus injurys were more common.All cases were single condyle , blunt trauma, all in treatment at 2 to 6 days.Results:22 cases, fractures are anatomic reduction of all patients , after 5 to 18months of follow -up , fracture healing , bone does not appear displacement , collapse , and no traumatic arthritis.Efficacy:excellent in 16 cases, good in 3 cases, 3 medium;good rate of 86.3%.Concluis on:Arthroscopic-assisted surgical treatment of tibial plateau fracture collapse , attention to articular cartilage and meniscus treatment , with less surgical damage , platform collapse fracture on the exact position , the advantages of rapid recovery , improved clinical results . |
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Keywords: | Arthroscopic Tibial plateau fractures Internal fixation |
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