【摘要】 目的 探讨关节镜下撬拨复位经皮固定治疗胫骨平台骨折的疗效。方法 2001年9月至2006年9月,18例胫骨平台骨折在关节镜监视下通过胫骨开窗撬拨复位、植骨，并经皮内固定。结果 18例术后3个月都达到临床骨性愈合。无感染和严重骨关节炎等并发症。结论 关节镜下撬拨复位经皮固定治疗胫骨平台骨折，复位直观、固定可靠，有利于早期功能锻炼。

    【关键词】胫骨平台骨折；关节镜；经皮固定

    Treatment of tibial plateau fractures by arthroscopic reduction and percutaneous fixation

    YAN Jun,ZHU Shu-chang,HU Bo.Department of Orthopae-dics,The Cantral Hospital of Shuyang,Jiangsu 223600 China

    【Abstract】 Objective To investigate the effectiveness of arthroscopic reduction and percutaneous fixation(ARPF)for the treatment oftibial plateau fractures.Methods18 cases of tibial plateau fractures from Sep,2001 to Sep,2006 were reviewed.The fractured tibial plateau was reconstructed by “drag-and-draw” reduction and iliac crest bony graft under arthroscope.And percutaneous cancellous bone screw fixation was conducted.Results linical bone union was achieved in all the patients in three month after operative.No infection or severe osteoarthritis occurred.ConclusionARPF for tibial plateau fractures has advantages of reduction under direct view,reliable fixation and facilitation for early activities. ......