Efficacy and safety analysis of arthroscopic minimally invasive surgery applied in tibial plateau fracture
10.3969/j.issn.1007-1989.2017.09.006
- VernacularTitle:膝关节镜微创手术应用于胫骨平台骨折的疗效及安全性分析
- Author:
Liu NIAN
1
;
Zhang HONG
;
Song XIAO-FEI
Author Information
1. 郑州大学附属南阳市中心医院骨二科
- Keywords:
arthroscopy;
tibial plateau fracture;
minimally invasive surgery;
safety
- From:
China Journal of Endoscopy
2017;23(9):31-35
- CountryChina
- Language:Chinese
-
Abstract:
Objective To study the clinical efficacy and safety of arthroscopic minimally invasive surgery applied in tibial plateau fracture. Method 50 patients with tibial plateau fracture from Jan 2014 to Jan 2016 were randomly divided into control group (traditional surgery) and observation group (arthroscopic minimally invasive surgery) according to the random number method, 25 patients in each. The surgery condition, postoperative complications and function recovery of knee joint were observed and compared. Results Compared with the control group, the operation time, intraoperative blood loss, ambulation time, weight-bearing ambulation time, and postoperative drainage volume were significantly decreased in observation group with statistical difference (P < 0.05); compared with the control group, the incidence of postoperative complications such as postoperative wound infection, malunion, traumatic arthritis, knee joint stiffness was obviously reduced in the observation group with statistical difference (P < 0.05); compared with the control group, the excellent rates of knee joint function score and radio-graphic score were significantly increased in the observation group with statistical difference (P < 0.05). Conclusion The arthroscopic minimally invasive surgery can significantly reduce the incidence of postoperative complications for patients with tibial plateau fracture and is beneficial to the recovery of knee joint function with higher clinical efficacy and treatment safety.