关节镜下微创内固定结合术后早期综合康复锻炼治疗27例胫骨平台骨折的疗效

Arthroscope assisted percutaneous plate fixation combined with early postoperative rehabilitation training in the treatment of tibial plateau fractures (27 cases)

摘要:

目的 探讨胫骨平台骨折在关节镜辅助下结合微创技术以及术后早期综合康复锻炼的治疗效果。方法 2012年7月-2014年12月，辽宁医学院附属第三医院骨二科收治胫骨平台骨折患者50例。采用随机分组，27例作为实验组在关节镜辅助下进行，术后均采取早期综合康复治疗；23例作为对照组，采用传统切开手术与康复治疗。分别在术后3、6和12个月用膝关节功能评分系统（HSS）评估患肢膝关节的功能。结果 术后患者均获随访，随访时间3~12个月，平均为6个月，两组切口均Ⅰ期愈合。根据HSS，在术后3、6和12个月，实验组患膝关节功能优良率分别是55.6%、70.3%和85.2%；对照组患膝关节功能优良率分别是47.8%、60.8%和73.9%。结论 采取关节镜技术结合骨折微创内固定以及术后早期的综合康复锻炼的方法来治疗胫骨平台骨折，对患者膝关节功能的恢复有理想的效果。

Abstract:

Objective To explore the effect of arthroscope assisted percutaneous plate fixation combined with early postoperative rehabilitation training in the treatment of 27 cases tibial plateau fractures. Method From 2012 July to 2014 December, we treated 50 patients who got tibial plateau fractures. Random grouping is used in this experiment. 27 cases as experimental group were treated with arthroscopic surgery, after surgery all the patients were treated with early comprehensive rehabilitation therapy; 23 cases as control group were treated with traditional open surgery and rehabilitation therapy. Using the hospital for special surgery knee score ( HSS ) after operation respectively in 3, 6, 12 months to assess limb knee joint function. Results Postoperative patients incisions were healed, patients were followed up for 3～12 months, average 12 months. According to the HSS score, the excellent rate of knee function in the experimental group was 55.6 %, 70.3 % and 85.2 % respectively. The excellent rate of the control group was 47.8 %, 60.8 % and 73.9 %, respectively. Conclusion For the treatment of fracture of tibial plateau. There is a good effect in recovering the function of the patients’ knees by using arthroscope assisted combined with minimally invasive technique and postoperative early rehabilitation exercise.