Comparison of arthroscopic assisted percutaneous plate osteosynthesis and conventional open reduction and plate internal fixation for tibial plateau fractures of Schatzker Ⅰ ~ Ⅳ
10.3969/j.issn.1007-1989.2017.06.013
- VernacularTitle:关节镜辅助下经皮内固定与传统切开复位内固定治疗SchatzkerⅠ~Ⅳ型胫骨平台骨折的疗效对比
- Author:
Dongyao LI
;
Huijiu ZHANG
;
Yaguang HU
- Keywords:
tibial plateau fracture;
arthroscopy;
minimally invasive;
clinical effect
- From:
China Journal of Endoscopy
2017;23(6):58-65
- CountryChina
- Language:Chinese
-
Abstract:
Objective To compare the efficacy of arthroscopic assisted percutaneous plate osteosynthesis and conventional open reduction and plate internal fixation in treatment of tibial plateau fractures of SchatzkerⅠ ~ Ⅳ . Methods Clinical data of 60 patients with tibial plateau fractures from July 2014 to July 2016 was retrospectively analyzed. All the patients were divided into observation group (30 cases) and control group (30 cases). Patients in observation group underwent arthroscopic assisted percutaneous internal fixation surgery, while patients in control group underwent conventional open reduction and plate internal fixation. Then record the operation index, the incidence of postoperative complications, maximum active angle of knee joint and the excellent rate of treatment. Results The operation index, postoperative complication rate, maximum active angle of knee joint and the treatment excellence rate in observation group was superior to control group. Conclusion With better clinical value, arthroscopic assisted percutaneous plate fixation was more satisfactory than conventional open reduction and plate internal fixation in treatment of tibial plateau fractures of Schatzker Ⅰ ~ Ⅳ .
