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首页> 外文期刊>Indian journal of orthopaedics >Arthroscopic Assessment of Cartilage Healing Status after Treatment of Tibial Plateau Fracture
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Arthroscopic Assessment of Cartilage Healing Status after Treatment of Tibial Plateau Fracture

机译：胫骨平台骨折治疗后关节镜下软骨愈合状态的评估

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Background: There are a few reports on the healing status of the cartilage after the treatment of tibial plateau fracture. In this study, we analyzed the healing status of articular cartilage using second-look arthroscopy with clinical and radiological results from patient's in schatzker Type I, II, and III tibial plateau fracture. Materials and Methods: 43 patients operated between January 2011 and December 2013 were included in this retrospective study. Radiological evaluation was performed by comparing simple radiographs from the preoperative, postoperative, and final followup period. Clinical evaluations were performed using the Knee Society Knee Score (KSKS) and the Knee Society Functional Score (KSFS). Moreover, second-look arthroscopic evaluation was performed during implant removal, and cartilage healing status was classified according to the International Cartilage Repair Society grading system (ICRS). Results: In all 43 patients, bony union was achieved with a mean duration of 13.7 weeks. The degree of cartilage healing was poor when the step-off was high ( P = 0.016). Furthermore, even in cases with satisfactory step-off 2 mm, there was no case with complete cartilage healing. Between ICRS grade and clinical results, the respective Pearson coefficient for KSKS and KSFS were r = ?0.62 and r = ?0.59 indicating mean statistically significant negative correlations ( P = 0.001). Conclusion: Even though step off was reduced anatomically and clinical outcome was excellent or good, there was not always complete cartilage healing in a followup on second-look arthroscopy. Therefore, we focused on not only radiologic and clinical outcome but also the actual status of cartilage with second-look arthroscopy.
机译：背景：关于胫骨平台骨折治疗后软骨愈合情况的报道很少。在这项研究中，我们使用第二眼关节镜分析了关节软骨的愈合状态，并结合了患者在Schatzker I，II和III型胫骨平台骨折中的临床和放射学结果。资料与方法：这项回顾性研究纳入了2011年1月至2013年12月之间手术的43例患者。放射学评估是通过比较术前，术后和最终随访期间的简单X射线照片进行的。使用膝关节膝关节评分（KSKS）和膝关节功能评分（KSFS）进行临床评估。此外，在去除植入物期间进行了第二眼关节镜评估，并且根据国际软骨修复学会分级系统（ICRS）对软骨的愈合状态进行了分类。结果：在所有43例患者中，均达到了骨性愈合，平均持续时间为13.7周。当步距较高时，软骨的愈合程度较差（P = 0.016）。此外，即使步距小于2 mm的情况令人满意，也没有软骨完全愈合的情况。在ICRS评分和临床结果之间，KSKS和KSFS的皮尔逊系数分别为r =？0.62和r =？0.59，表明在统计学上具有显着的负相关（P = 0.001）。结论：即使从解剖学上减少了下脚步，并且临床效果优异或良好，但在第二眼关节镜检查的随访中，软骨并不总是能够完全愈合。因此，我们不仅关注放射学和临床结果，还关注第二眼关节镜检查软骨的实际状态。

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