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

Abstract
Figure/Table
References (20)
Related Citation (15)

Download: PDF (514 KB) HTML (1 KB)
Export: BibTeX | EndNote (RIS)

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.

Key words： Tibial plateau fractures Schatzker Ⅲ type Balloon angioplasty Internal fixation Arthroscopy

	Service

	E-mail this article
	Add to my bookshelf
	Add to citation manager
	E-mail Alert
	RSS
	Articles by authors
	QIU Yu WEI Li WEI Xiangke ZHONG Tao

Cite this article:

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[J]. 中国医药导报, 2019, 16(3): 71-74.

URL:

http://www.yiyaodaobao.com.cn/EN/ OR http://www.yiyaodaobao.com.cn/EN/Y2019/V16/I3/71

[1] 徐云钦，李强，申屠刚，等.三种手术方法在复杂胫骨平台骨折中的应用[J].中华创伤骨科杂志，2010，12（3）：281-283.
[2] 郭玉冬，王宸.复杂胫骨平台骨折治疗的挑战[J].中国骨伤，2017，30（10）：881-884.
[3] 罗长奇，方跃，屠重棋，等.胫骨平台塌陷骨缺损的治疗现状及进展[J].中国骨伤，2016，29（2）：187-191.
[4] Insall JN，Ranawat CS，Aglietti P，et al. A comparison of four models of total knee-replacement prostheses [J]. J Bone Surg，1976，58（6）：754-765.
[5] 张英泽.临床创伤骨折流行病学[M].北京：人民卫生出版社，2014，290-291.
[6] 顾立强.胫骨平台骨折的分类与功能评价[J].中华创伤骨科杂志，2004，6（3）：323-327.
[7] 常恒瑞.胫骨平台骨折合并半月板与交叉韧带损伤的临床特征分析[D].石家庄：河北医科大学，2017：1-35.
[8] 禹宝庆，敖荣广.如何提高胫骨平台骨折的诊治水平[J].中国骨与关节外科，2014，（5）：361-362.
[9] 王海洲，罗翱翔，陈海云，等.内固定治疗老年胫骨平台骨折的疗效观察[J].中华创伤骨科杂志，2009，11（8）：790-791.
[10] 温竹重，周建元.胫骨平台塌陷和劈裂骨折的手术治疗[J].医学信息，2013，（13）：560-560.
[11] 刘卫星.用胫骨平台骨折切开复位内固定术治疗胫骨平台骨折的效果观察[J].当代医药论丛，2014，（3）：143.
[12] 陈星佐，林朋，刘成刚，等.关节镜辅助复位内固定治疗胫骨平台骨折的研究进展[J].中华创伤骨科杂志，2014， 16（7）：622-624.
[13] Egol KA，Cantlon M，Fisher N，et al. Percutaneous repair of a schatzker Ⅲ tibial plateau fracture assisted by arth-roscopy [J]. J Orthop Trauma，2017，31（Suppl3）：S12-S13.
[14] 许兵，刘祥，吴善强.关节镜下微创治疗SchatzkerⅢ型胫骨平台骨折[J].实用医药杂志，2018，35（5）：417-418.
[15] 曲文庆，王振海，王丹，等.术前术中外固定架联合单侧锁定接骨板治疗复杂胫骨平台骨折[J].中华骨与关节外科杂志，2018，11（1）：45-49.
[16] 黄永，曹志强，马建文，等.Hybrid外固定架结合小切口有限内固定与钢板内固定治疗胫骨平台骨折临床疗效的比较[J].中国骨与关节杂志，2018，7（3）：189-193.
[17] 赵志明，董桂贤，于桂泳，等.三种手术方法治疗高能量胫骨平台骨折的效果分析[J].中国医药导报，2015，12（30）：74-76，85.
[18] Pizanis A，Garcia P，Pohlemann T，et a1. Balloon tibioplasty：a useful tool for reduction of tibial plateau depression fractures [J]. J Orthop Trauma，2012，26（7）：e88-e93.
[19] 张小龙，李皓桓.胫骨平台骨折的手术治疗[J].生物骨科材料与临床研究，2017，14（4）：58-62.
[20] 单贤贞，周友龙，王银海，等.关节镜辅助下球囊成形术在胫骨平台骨折患者中的应用效果及对肢体功能的影响研究[J].中国内镜杂志，2018，24（5）：58-62.