Clinical Effect of Mini-Swashbuckler Approach Combined with Distal Lateral Locking Plate in the Treatment of Patients with Distal Femoral Fracture
Objective To investigate the clinical effect of Mini-Swashbuckler approach combined with distal lateral locking plate in patients with distal femoral fracture.Methods Sixty patients with distal femoral fracture admitted to Lufeng People's Hospital,Shanwei City,Guangdong Province from January 2021 to January 2023 were selected as the research objects,and were divided into a control group and an observation group according to random number table method,with 30 cases in each group.The observation group was treated with Mini-Swashbuckler approach combined with distal lateral locking plate,while the control group was treated with distal femoral lateral approach locking plate.The surgical indicators,knee function,occurrence of complications and inflammatory factors were compared between the two groups.Results The operation time of the observation group was longer than that of the control group,the intraoperative fluoroscopy times were more than that of the control group,the incision length was shorter than that of the control group,and the intraoperative blood loss was less than that of the control group,the differences between the groups were statistically significant(P﹤0.05).At 3,6 and 12 months after surgery,the knee function scores of the Hospital for Special Surgery in the observation group were higher than those of the control group,and the differences between the groups were statistically significant(P﹤0.05).The incidence of complications in the observation group was 6.67%,which was lower than 26.67%in the control group,the difference was statistically significant(P﹤0.05).1 month after surgery,the levels of C-reactive protein,interleukin-1β and tumor necrosis factor-α in the observation group were lower than those in the control group,and the differences between the groups were statistically significant(P﹤0.05).Conclusion The Mini-Swashbuckler approach combined with distal lateral locking plate for the treatment of distal femoral fracture has the advantages of less surgical trauma,less bleeding,faster recovery and fewer complications,which can effectively improve the knee joint function of patients,and the clinical effect is significant.
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