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目的探讨关节镜辅助下闭合复位经皮内固定治疗移位胫骨近端骨骺骨折的疗效。方法 9例移位胫骨近端骨骺骨折患儿,均采用关节镜辅助下闭合复位经皮内固定治疗。观察治疗效果。结果术后X线片显示所有骨折复位满意,全部病例获得随访,随访时间3个月~1年4个月,平均随访8个月。术后3个月患膝关节活动范围0~140°,骨折愈合时间3~4个月。术后6个月恢复伤前运动水平。术后7~8个月去除内固定物。疗效均为优。其中1例术后3 d骨折再次移位,需要二次手术。结论关节镜辅助下闭合复位经皮内固定治疗移位胫骨近端骨骺骨折具有微创特点,创伤小,固定可靠。
Objective To investigate the effect of arthroscopy-assisted closed reduction and percutaneous internal fixation for the treatment of displaced proximal tibial epiphyseal fracture. Methods Nine cases of displaced proximal tibial epiphyseal fractures were treated with arthroscopy assisted closed reduction and percutaneous internal fixation. Observe the effect of treatment. Results Postoperative X-ray showed satisfactory reduction of all fractures. All cases were followed up for 3 months to 1 year and 4 months with an average of 8 months follow-up. Three months after operation, the range of motion of knee joint ranged from 0 to 140 ° and fracture healing time was 3 to 4 months. 6 months after surgery to restore pre-injury levels. After 7 to 8 months to remove the internal fixation. Efficacy are excellent. One case of 3 days postoperative fracture again displaced, the need for second surgery. Conclusions Arthroscopy assisted closed reduction and percutaneous internal fixation for the treatment of displaced proximal tibial epiphyseal fracture with minimally invasive features, less trauma and reliable fixation.