[摘要] 目的：探讨膝关节镜下处理胫骨平台骨折的疗效与特点。方法：本组患者33例，合并半月板游离缘破裂10例，前交叉韧带胫侧止点撕脱骨折3例，内侧副韧带完全断裂3例。根据骨与软组织损伤情况，将膝关节镜检查治疗技术与传统手术结合进行处理。结果：术后平均随访2年4个月，根据国际HSS膝功能判定的标准评定疗效，其优良率为93.9%，无明显并发症。结论：关节镜监视与协助下微创治疗平台骨折，具有创伤小、复位直观、固定可靠等优点，不仅适用于SchatzkerⅠ～Ⅲ骨折，对于Ⅳ～Ⅵ骨折也可取得良好疗效果。

    [关键词] 关节镜；胫骨平台；骨折

    [中图分类号] R683.42[文献标识码]C [文章编号]1673-7210(2009)05(c)-030-03

    Arthroscopic treatment of tibial plateau fracture

    LI Jun

    (Orthopaedic Hospital of Shenyang City, Liaoning Province, Shenyang110042,China)

    [Abstract] Objective: To investigate the therapeutic effect and feature of arthroscopy of knee joint in the treatment of the fracture of tibial plateau. Methods: Among 33 cases involved in this study, there were 10 cases complicated with rupture of menisci freemargin, 3 cases complicated with avulsion fracture of the lateral insertion of anterior cruciate ligament, 3 cases complicated with completely medial collateral ligaments rupture. According to the situation of the injured bone and cartilage, the fracture was dealt with the technique of arthroscope of knee joint combined with the traditional operation. Results: The follow-up lasted for average 32 months, which showed that 93.8% of patients achieved good or excellent functional evaluation according to the international HSS knee score. Conclusion: Less trauma, satisfactory bone reduction and reliable fixation are the virtues of arthroscopic technique in the treatment of tibial plateau fracture. This methods can be used not only for SchatzkerⅠ-Ⅲ type fracture but also for Ⅳ-Ⅵ type fracture, with the same and wonderful effects. ......