Clinical effect of minimally invasive treatment of severe comminuted fracture of tibial plateau with AO joint anatomic locking plate under arthroscope
10.3760/cma.j.issn.1008-6315.2016.03.016
- VernacularTitle:关节镜辅助下应用AO围关节解剖锁定钢板微创术治疗胫骨平台重度粉碎骨折的效果
- Author:
Yue WU
- Publication Type:Journal Article
- Keywords:
Arthroscopy;
AO joint anatomic locking plate;
Tibial plateau fractures
- From:
Clinical Medicine of China
2016;32(3):248-250
- CountryChina
- Language:Chinese
-
Abstract:
Objective To observe the clinical effect of minimally invasive with AO joint anatomic locking plate under arthroscope and traditional internal fixation on treatment of severe comminuted fracture of tibial plateau.Methods Thirty-six cases of patients with severe comminuted fracture of tibial plateau were treated in Zhongshan Hospital Affiliated to Dalian University from June 2013 to June 2015 were selected.All patients received minimally invasive treatment with AO joint anatomic locking plate under arthroscope.At the same time,35 cases of patients under traditional fixation were selected as the control group.General surgery information including operation time,intraoperative blood loss,length of incision,limb shortening,knee flexion degree and knee HSS score of patients in both two groups were observed.Results The operation time,intraoperative blood loss,length of incision of the research group were (95.1 ± 20.4) min,(385.4 ± 40.7) ml and (1.9±0.7) cm respectively,(77.6±14.3) min,(456.7±45.1) ml and (4.0±1.2) cm for the control group,the differences were significant (t =4.175,6.997,9.038;P < 0.05).The limb shortening,knee flexion degree of the research group were (0.9±0.7) mm and (112.1 ± 14.8) ° respectively,(2.5± 1.8) mm and (90.1± 10.6) ° for the control group,the differences were significant (t =4.962,7.183;P< 0.05).After treatment,the knee joint HSS score of the research groups was (84.9±9.7),(69.1±7.3) for the control group,the difference was significant(t =7.738,P<0.05).Conclusion The clinical effect of minimally invasive treatment of severe comminuted fracture of tibial plateau with AO joint anatomic locking plate under arthroscope is significant,with smaller invasion,better postoperative recovery than traditional fixation,and can promote the recovery of neural function.