Objective:To explore the treatment efficacy of complicacy tibial plateau fractures under the arthroscopic assisted minimally invasive surgery.Methods:104 cases of patients with complex tibial plateau fracture who were treated in our hospital from February 2013 to January 2015 were Selected,and divided into minimally invasive group and control group according to the random number table method,each group of 52 cases.The control group was treated with conventional open reduction and internal fixation with plate fixation,the minimally invasive treatment group was treated with arthroscopic assisted minimally invasive surgery;The clinical indicators,knee function HSS score and the incidence rate of postoperative complications were observed in the two groups.Results:After the operation,the exercise time leaving bed,total weight bearing time,fracture healing time of the minimally invasive treatment group were significantly lower than those in the control group (P＜0.05);Three months after the joint activity,the excellent and good rate of the knee function after 1 year of the minimally invasive treatment group was significantly higher than the control group (P＜0.05);The incidence of postoperative complications of minimally invasive group was 9.62％(5/52),significantly lower than that of the control group 23.08％(12/52),the difference was statistically significant (P＜0.05).Conclusion:The clinical efficacy of minimally invasive surgery by mirror auxiliary for treatment of tibial plateau fractures has significantly clinical curative effect,less complications and good recovery of knee joint function,it is worthy of clinical application.%目的:探讨膝关节镜辅助微创手术治疗复杂性胫骨平台骨折的疗效.方法:搜集2013年2月-2015年1月期间我院收治的确诊为复杂性胫骨平台骨折患者104例,按照随机数字表法分为微创组和对照组,每组各52例.对照组采用传统切开复位钢板内固定术治疗,微创组采用膝关节镜辅助微创手术治疗;观察两组患者临床各项指标、膝关节功能HSS评分以及术后并发症发生率.结果:术后微创组下床活动时间、完全负重下地时间和骨折愈合时间显著低于对照组(P＜0.05);三个月后的关节活动度、一年后的膝关节功能优良率显著高于对照组(P＜0.05);术后微创组并发症发生率为9.62％(5/52),显著低于对照组的23.08％(12/52),差异具有统计学意义(P＜0.05).结论:膝关节镜辅助微创手术治疗复杂性胫骨平台骨折,临床疗效显著,术后膝关节功能恢复好,并发症发生率低,值得临床推广应用.
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