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首页> 外文期刊>Injury >Arthroscopic-assisted inflatable bone tamp reduction for treatment of posterolateral tibial plateau fractures
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Arthroscopic-assisted inflatable bone tamp reduction for treatment of posterolateral tibial plateau fractures

机译：关节镜辅助膨胀骨液夯实降低，用于治疗后侧胫骨平台骨折

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AimOur study aimed to assess the safety and efficacy of an innovative arthroscopic-assisted inflatable tamp reduction technique for the treatment of posterolateral tibial plateau fractures. Patients and methodsTwenty-six patients with posterolateral tibial plateau fractures were treated with arthroscopy through inflation reduction technique were enrolled. Arthroscopy was used to observe the reduction of articular surface to avoid over-reduction or de-reduction. An arthroscopic assessment of anatomic joint reduction completed the procedure. Inflatable bone tamp was used to reduce the fractures and calcium phosphate cement was used as bone substitute to augment the repairs. ResultsUnder arthroscopy, the reduction was observed to be excellent without any residual deformity in all the cases. Cement overflow into the soft tissues or the knee joint was not observed. During the follow-up period, no obvious articular surface subsidence (>5?mm) was observed and no evidence of posttraumatic osteoarthritis could be detected. Radiographs under full weight bearing revealed neither loss of reduction nor any valgus deviation. Three months after surgery, the graft was almost completely replaced by new bone. The functional evaluation following the Rasmussen score yielded excellent results. ConclusionsThis study provided a novel technique for the reduction of depressed and split-depressed pasterolateral tibial plateau fractures. Arthroscopic-assisted inflatable bone tamp reduction is an effective method for the treatment of posterolateral tibial plateau fractures.
机译：宗旨研究旨在评估创新关节镜辅助充气夯实减少技术的安全性和功效治疗后侧胫骨平台骨折。患者和方法患有后侧胫骨平台骨折的患者通过通胀减少技术进行关节镜检查。关节镜检查用于观察关节表面的减少以避免过度减少或降低。对解剖学关节减少的关节镜评估完成了该程序。可充气骨夯可用于减少骨折，磷酸钙水泥用作骨替代以增加维修。结果随镜检查，观察到减少在所有情况下都没有任何残留的畸形。未观察到水泥溢出到软组织或膝关节。在随访期间，未观察到明显关节表面沉降（>5μm），并且可以检测到未经检测到后骨关节炎的证据。全重轴承下的射线照相显示既不损失还原也不止血管偏差。手术后三个月，移植物几乎完全被新骨替换。 Rasmussen评分后的功能评估产生了优异的效果。结论STRHIS研究为减少抑郁和分裂的抑郁抑郁型胫骨外胫骨平台骨折提供了一种新颖的技术。关节镜辅助膨胀骨液夯实是治疗后侧胫骨平台骨折的有效方法。

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