Abstract：Objective To compare the effect of percutaneous balloon expansion comparison with open reduction and internal fixation for schatzkerⅢ type of fracture of tibial plateau. Methods Retrospective analysis in July 2010 to July 2016 in the First People′s Hospital of Yibin City of Sichuan Province 62 cases of bone subject SchatzkerⅢ cases of patients with fracture of tibial plateau. According to different treatment methods, they were divided into balloon dilation group (23 cases) and internal fixation group (39 cases). In the balloon dilation group, with the assistance of arthroscopy, the bone cement was filled after the balloon dilation and reduction. The internal fixation group underwent open reduction, allograft and locking plate fixation under arthroscopic surveillance. The operative time, intraoperative blood loss, length of hospitalization, total cost, complications, knee mobility and knee hospital speeial surgry knee score (HSS) score at 12 months after surgery were compared between the two groups. Results The operation time, intraoperative blood loss and hospitalization daily average of the balloon dilation group were lower than those of the internal fixation group, and the differences were statistically significant (P ＜ 0.05). The average hospitalization cost in the balloon group was higher than that in the internal fixation group, and the difference was statistically significant (P ＜ 0.05). The incidence of complications in the balloon group was lower than that in the internal fixation group, and the difference was statistically significant (P ＜ 0.05). Twelve months after surgery, the knee mobility and HSS function scores of the balloon group were higher than those of the internal fixation group, and the differences were statistically significant (P ＜ 0.05). Conclusion The balloon expansion of the arthroscopic assisted treatment Schatzker Ⅲ type tibial plateau fracture operation time and shorter hospitalization time, less bleeding, fewer postoperative complications, and the risk of knee can obtain better activity and function of using to be promoted. Arthroscopically assisted balloon dilatation has advantages including shorter duration of operation, shorter length of hospital stay, less intraoperative blood loss, less complications and better mobility and functions of knee joint in the treatment of Schatzker Ⅲ type tibial plateau fracture, so it is worthy of widely use.
邱宇 魏立 魏祥科 钟涛. 经皮球囊扩张与开放复位内固定治疗SchatzkerⅢ型胫骨平台骨折的效果比较[J]. 中国医药导报, 2019, 16(3): 71-74.
QIU Yu WEI Li WEI Xiangke ZHONG Tao. The effect of percutaneous balloon expansion comparison with open reduction and internal fixation for schatzkerⅢ type of fracture of tibial plateau. 中国医药导报, 2019, 16(3): 71-74.
2019, Vol. 16 
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