关节镜辅助下微创复位内固定术在胫骨平台骨折患者中的应用效果

doi:10.3969/j.issn.1671-7171.2026.07.007

Abstract
Figure/Table
References (0)
Related Citation (15)

Download: PDF (1198 KB) HTML (1 KB)
Export: BibTeX | EndNote (RIS)

Abstract 【Objective】 To explore the application effect of arthroscopy-assisted minimally invasive reduction and internal fixation for patients with tibial plateau fractures. 【Methods】 A total of 80 patients with tibial plateau fractures admitted to our hospital from May 2021 to May 2025 were selected and divided into control group and observation group according to different surgical methods, with 40 cases in each group. The control group received open reduction and internal fixation, while the observation group was treated with arthroscopy-assisted minimally invasive reduction and internal fixation. Perioperative indicators (operation time, intraoperative blood loss, time to get out of bed after operation, time of full weight-bearing after operation), postoperative knee swelling, knee flexion and extension range of motion, knee joint function [American Knee Society (AKS) score] and complications were compared between the two groups. 【Results】 The operation time, time to get out of bed and full weight-bearing time of the observation group were shorter than those of the control group, and intraoperative blood loss was less (P<0.05). Postoperative knee swelling in the observation group was milder, and the maximum flexion and extension angles were larger than those in the control group (P<0.05). The knee score and function score of AKS in the observation group were higher than those in the control group (P<0.05). The total incidence of complications in the observation group was lower than that in the control group (P<0.05). 【Conclusions】 Arthroscopy-assisted minimally invasive reduction and internal fixation can reduce intraoperative blood loss and postoperative knee swelling, accelerate early functional recovery and improve knee joint function with fewer complications, which possesses high clinical application value for tibial plateau fractures.

Key words： Tibial Fractures Fracture Fixation,Internal Arthroscopy

Received: 30 December 2025

PACS:

R683.42

	Service

	E-mail this article
	Add to my bookshelf
	Add to citation manager
	E-mail Alert
	RSS
	Articles by authors
	ZHOU Zhixun
	HUANG Shen
	ZHOU Daoguang
	DENG Xuguang
	WEI Kunhuan
	QIU Shanqin
	ZHAI Jinhua
	MO Ningfang

Cite this article:

ZHOU Zhixun,HUANG Shen,ZHOU Daoguang, et al. Application Effect of Arthroscopy-Assisted Minimally Invasive Reduction and Internal Fixation in Patients with Tibial Plateau Fractures[J]. JOURNAL OF CLINICAL RESEARCH, 2026, 43(7): 1079-1082.

URL:

http://journal07.magtech.org.cn/yxlcyj/EN/10.3969/j.issn.1671-7171.2026.07.007 OR http://journal07.magtech.org.cn/yxlcyj/EN/Y2026/V43/I7/1079

[1] 查理涛. 关节镜下微创经皮接骨板内固定术治疗Schatzker Ⅰ～Ⅲ型胫骨平台骨折的效果及对膝关节功能的影响[J].中外医学研究,2023,21(12):1-5.
[2] 李聪鹏,张小婷,乔志刚,等. 关节镜辅助下微创经皮钢板内固定治疗开放性胫骨平台骨折患者的临床价值研究[J].黑龙江医学,2023,47(8):932-935.
[3] 赖子健,陈亚洲,刘培倦,等. 关节镜下小切口行胫骨平台骨折切开复位内固定与传统手术的临床疗效[J].吉林医学,2024,45(2):335-338.
[4] 王友良,杜基朋措,杨忠,等. 膝关节镜辅助与常规手术治疗胫骨平台骨折的疗效对比[J].中华关节外科杂志(电子版),2025,19(1):39-45.
[5] 陈忠尧,杜兴,罗刚,等. 机器人联合关节镜微创治疗后外侧塌陷型胫骨平台骨折的近期疗效[J].中国修复重建外科杂志,2025,39(7):801-806.
[6] 滕加文,陈文明,李宝锋. 关节镜下经皮微创钢板内固定术治疗胫骨平台骨折患者的疗效及对膝关节功能的影响[J].川北医学院学报,2024,39(7):913-915.
[7] 中华创伤骨科杂志编辑委员会. 胫骨平台骨折诊断与治疗的专家共识[J].中华创伤骨科杂志,2015,17(1):3-7.
[8] 王枫,冯宝华,雷博艺. 胫骨平台骨折术后持续被动运动对膝关节功能恢复的影响[J].贵州医药,2020,44(10):1595-1596.
[9] 洪瑞龙,丁军稳,陈波,等. 关节镜辅助复位内固定结合加速康复外科与开放复位内固定治疗胫骨平台后外侧骨折的疗效比较[J].中国临床医学,2024,31(5):783-789.
[10] 李滔,李俊宏,季建华,等. 关节镜下前交叉韧带隧道定位器辅助复位固定在Schatzker Ⅳ型胫骨平台合并后外侧柱塌陷骨折中的应用[J].中华创伤骨科杂志,2025,27(11):935-942.
[11] 周亮,习超杰,陈虎,等. 骨科机器人联合关节镜辅助空心钉内固定治疗胫骨平台骨折15例临床分析[J].中国骨与关节损伤杂志,2025,40(8):875-878.
[12] 程景波,陈华,罗晓彬,等. 关节镜辅助微创治疗Schatzker Ⅰ～Ⅲ型胫骨平台骨折的临床研究[J].贵州医药,2025,49(7):1070-1072.
[13] 周银,曹鎏,周锋,等. 关节镜辅助下切开复位内固定治疗Schatzker Ⅰ～Ⅲ型胫骨平台骨折疗效分析[J].创伤外科杂志,2025,27(4):272-276.
[14] 章斌,郭锦明,刘俊,等. 关节镜辅助微创经皮钢板内固定治疗胫骨平台骨折的疗效[J].临床骨科杂志,2025,28(1):99-103.
[15] 王建民. 关节镜辅助下微创经皮钢板固定技术治疗SchatzkerⅠ～Ⅲ型胫骨平台骨折伴韧带损伤51例[J].安徽医药,2023,27(2):358-362.