应用于胫骨平台骨折微创治疗的辅助技术新进展

doi:10.3969/j.issn.2095-378X.2017.02.011

摘要/Abstract

摘要： 胫骨平台骨折的治疗分为保守治疗和手术治疗。除伴有严重心脑血管疾病难以耐受手术治疗以及骨折未发生明显移位和未累及关节面的患者外,一般均采取手术治疗。然而传统切开复位内固定术治疗胫骨平台骨折,存在创伤大、感染率高等缺点,使得越来越多的骨科医师开始关注微创技术。如何使小切口充分暴露骨折情况达到准确修复关节面,一直是微创治疗胫骨平台骨折的临床研究热点。随着三维打印以及关节镜等技术的成熟,应用这些辅助技术获得微创治疗胫骨平台骨折的便捷及满意疗效,已获得越来越多的骨科医师认可。本文就胫骨平台骨折微创治疗的辅助技术新进展作一综述。

关键词: 胫骨平台骨折, 内固定, 手术治疗, 微创, 辅助技术

Abstract: The treatment of tibial plateau fracture is divided into conservative treatment and surgical treatment.Except for the patients with severe cardiovascular and cerebrovascular diseases and the patients without obvious displacement and involvement of articular surface,generally open reduction and internal fixation (ORIF) should be the first choice for tibial plateau fracture instead of conservative treatment.However,the weakness of traditional ORIF such as surgical trauma and high rate of infection has turned clinicians’ attention to minimally invasive treatment.With the development of three-dimensional printing,arthroscopy,and other technologies,we have a better way for the treatment of tibial plateau fracture-minimally invasive internal fixation which is always a clinical research hotspot.And these auxiliary technologies for minimally invasive treatment of tibial plateau fracture to achieve adequate exposure are more and more approbated by surgeons because of good clinical results.This article reviewed new progress on assisted technologies for minimally invasive treatment of tibial plateau fracture.

Key words: Tibial plateau fracture, Internal fixation, Surgical treatment, Minimally invasive, Auxiliary technology

中图分类号:

R683.4

尹佩佩, 于晓巍. 应用于胫骨平台骨折微创治疗的辅助技术新进展[J]. 外科研究与新技术, 2017, 6(2): 105-109.

YIN Peipei, YU Xiaowei. New progress on assisted technologies for minimally invasive treatment of tibial plateau fracture[J]. Surgical Research and New Technique, 2017, 6(2): 105-109.

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