关节镜辅助复位内固定治疗胫骨平台骨折相关问题

Relevant problems in arthroscopic reduction and internal fixation of tibial plateau fractures

摘要:

胫骨平台骨折是膝关节的常见损伤，一般需要手术治疗。相比传统切开复位手术，关节镜辅助复位内固定治疗胫骨平台骨折在直视关节内软骨损伤、骨折精确复位、优化关节内伴发损伤的诊治，降低手术侵袭性及快速康复等方面显示出许多优势，更符合微创治疗理念。尽管对于关节镜手术的一般原则存在共识，但对于骨折类型的选择、合并软组织损伤的处理、治疗效果评价以及手术操作要点等方面具有特殊性。本文通过对上述关节镜辅助复位内固定治疗胫骨平台骨折的相关问题进行综述，为临床医生提供参考。

Abstract:

Tibial plateau fracture is a common injury of the knee, which generally needs surgical treatment. Compared to the open re- duction surgery, arthroscopy reduction and internal fixation in the treatment of tibial plateau fracture has many advantages, including direct vision of intra-articular cartilage injury, accurate reduction of fracture, optimization of diagnosis and treatment of intra-articular concomi- tant injury, reduction of surgical invasiveness and rapid rehabilitation, which is more in line with the concept of minimally invasive treat- ment. Although there is a consensus on the general principles of arthroscopic surgery, there is particularity in the selection of indications, the management of soft tissue injuries, the evaluation of therapeutic effects and surgical procedures. This article reviews the related prob- lems of arthroscopic reduction and internal fixation for tibial plateau fractures in order to provide a reference for clinicians.