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《Practical Clinical Medicine》 2009-03
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Minimally Invasive Treatment of Schatzker Ⅰ-Ⅳ Type Tibial Plateau Fractuers Using Atrthroscopy

YU Wei-hong1,LEI Gang-gang2,ZOU Jian1(1.Department of Orthopaedics,Dongguan Hospital of Traditional ChineseMedicine,Dongguan 523005,China;2.The Second Department of Orthopaedics,theFirst Affiliated Hospital of Nanchang University,Nanchang 330006,China)  
Objective To investigate clinical results of the arthrocopic technique in the treatment of Schatzker Ⅰ-Ⅳ type tibial plateau fractures.Methods A total of 30 cases of tibial plateau fractures,consisting of 9 cases of type Ⅰ,7 of Ⅱ,8 of Ⅲ and 6 of Ⅳ according to Schatzker classification,were treated with reduction and screw fixation assisted arthroscopically over a span from october 2004 to June 2007.The associated intra-articular pathology were treated simultaneously.All of the cases were followed up for 4 to 18 months and post-operational complications and function recovery were investigated.Results All of the fractures healed within three months post-operationally without complication.The rate of excellent and good results was 93.33% according to HSS assessment criterion.Conclusion The reduction and fixation with assistance of arthroscope for the tibial plateau fracture has the advantages of minimal injury,safe operation,accurate reduction and fixation,early recovery and convenient treatment of the associated intra-articular pathology at the same time.
【CateGory Index】: R687.3
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