Effect of Arthroscopic Assisted Small Incision Surgery on the Rehabilitation Process and Knee Joint Function of Patients with Tibial Plateau Fractures
Objective To investigate the effect of arthroscopically assisted small incision surgery on tibial plateau fracture(TPF).Methods A total of 80 TPF patients admitted to the Third People's Hospital of Xintai City from July 2021 to July 2022 were selected as the research objects,and were divided into a control group and an observation group according to random number table method,with 40 cases in each group.The control group was treated with open reduction and internal fixation surgery,and the observation group was treated with small incision assisted by arthroscope.The perioperative conditions,postoperative recovery process,knee joint function,stress index and complications were compared between the two groups.Results The operation time of the observation group was(85.41±6.38)min,which was shorter than(96.87±7.58)min of the control group,the intraoperative blood loss and postoperative drainage volume were(55.89±5.14)mL and(101.58±12.43)mL,respectively,which were less than(80.76±6.35)mL and(151.87±15.36)mL in the control group,and the differences between the groups were statistically significant(P﹤0.05).The first time of getting out of bed,fracture healing and hospital stay in the observation group were(3.04±0.45)d,(11.52±1.32)weeks and(9.12±1.15)d,respectively,which were shorter than(5.41±1.16)d,(13.41±1.46)weeks and(11.32±1.24)d in the control group,the differences between the groups were statistically significant(P﹤0.05).6 months after operation,the scores of all dimensions and total scores of Westrn Ontario and McMaster University Osteoarthritis Index in the observation group were lower than those in the control group,and the differences between the groups were statistically significant(P﹤0.05).24 hours after operation,the levels of norepinephrine,cortisol and adrenocortical hormone in the observation group were lower than those in the control group,and the differences between the groups were statistical significance(P﹤0.05).The incidence of complications in the observation group was 5.00%,which was lower than 20.00%in the control group,and the difference was statistically significant(P﹤0.05).Conclusion The treatment of TPF patients with arthroscopic assistance with small incision internal fixation can reduce the body trauma,reduce the stress level,shorten the fracture healing time,and promote the recovery of knee joint function with fewer complications.
Tibial plateauArthroscopyOpen reduction and internal fixation surgeryKnee joint functionComplications
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