【摘 要】目的：分析切开复位内固定治疗胫骨平台双髁四象限骨折的近期疗效。方法：选取我院收治的52例胫骨平台双髁四象限骨折患者，纳入时间为2015年6月至2017年6月。将其随机分为2组：常规切开复位内固定术治疗26例作为对照组，膝关节镜下切开复位内固定术治疗26例作为试验组，评定临床疗效。结果：术后3个月、6个月，2组患者的HSS评分明显提高，且试验组评分高于对照组，差异显著(P<0.05)。试验组术后并发症发生1例(3.8%)，低于对照组的7例(26.9%)，差异显著(P<0.05)。结论：膝关节镜下切开复位内固定术治疗胫骨平台双髁四象限骨折疗效确切，能减少术后并发症、促进关节功能恢复，值得推广。

    【关键词】：胫骨平台；双髁四象限骨折；内固定术；并发症

    Short-term curative effect of open reduction and internal fixation for four-quadrant fracture of the tibial plateau

    abstract objective： to analyze the short-term efficacy of open reduction and internal fixation for the treatment of four-quadrant fracture of the tibial plateau. Methods： a total of 52 patients with bicondylar four-quadrant fracture of tibial plateau treated in our hospital were selected. The time of inclusion was from June 2015 to June 2017. The patients were randomly divided into 2 groups： 26 cases were treated with conventional open reduction and internal fixation ......