关节镜在诊断和处理膝关节周围骨折合并膝内结构损伤的应用

摘要

目的：评价膝关节镜在诊断和处理膝关节周围骨折合并膝内结构损伤的应用价值。方法2011年1月至2013年1月我院收治的25例膝关节周围骨折患者在骨折内固定术中常规进行关节镜检查，半月板修复成形、韧带修复重建，同时对关节面骨折复位情况直视下进行监测和评估。采用HSS膝关节功能评分标准，对患者术后膝关节功能进行评价。结果25例患者术后均获12~36个月随访，平均14．2个月，参照HSS膝关节功能评分标准，优16例，良8例，可1例，优良率92．3%，随访期内无内固定失效，膝内外翻畸形及深部感染等并发症。结论关节镜应用于膝关节周围骨折的处理，提高膝关节内结构合并损伤的诊断率，减少术后功能障碍的发生率，关节镜直视下进行骨折复位可以达到更好的复位效果。%Objective To evaluate the effectiveness of arthroscope-assisted technique in treating knee or knee peripheral fractures with injury of menisci and ligaments. Methods From January 2011 to January 2013,arthroscope-assisted surgical tech-nique was performed in 25 cases with knee or knee peripheral fractures,then internal fixation was perform under arthroscope. The evaluation of knee function was taken with HSS score system after fracture healing. Results All cases were followed up for 12-36 month( mean,14. 2 month) . By the HSS score system for the knee,16 patients were rated as excellent,8 as good and one as fair, and the excellent and good rate was 92. 3%,there were no failure of internal fixation,deformity of the knee,or traumatic knee oste-oarthritis. Conclusion As for knee or knee peripheral fractures,arthroscope-assisted technique can get more accuracy diagnosis and treatment for injury of menisci and ligaments,decrease complication,provide fine monitoring for reliable fracture fixation.