Objective To explore the factors influencing joint function recovery in patients with tibial plateau fractures accom-panied by intercondylar eminence fractures after surgical repair.Methods A total of 100 patients with tibial plateau fractures accompanied by intercondylar eminence fractures who underwent surgical repair at the author's hospital from May 2018 to May 2023 were included.The Lysholm knee scoring scale,Visual Analog Scale(VAS)for pain,knee joint range of motion(ROM),and posterior tibial slope angle were compared preoperatively and 3 months postoperatively.Patients were grouped based on their Lysholm scores at 3 months postoperatively:the good outcome group(≥70 points,78 patients)and the poor outcome group(＜70 points,22 patients).General data were collected for both groups,and univariate and multivariate analyses were performed to investigate the factors affecting joint function recovery after surgical repair.Results All patients successfully completed the surgery and were followed up for at least 3 months.The Lysholm scores in all dimensions significantly improved at 3 months postoperatively compared to preoperative values(P＜0.05).The posterior tibial slope angle and knee ROM significantly in-creased,while the VAS pain score significantly decreased at 3 months postoperatively compared to preoperative values(P＜0.05).Univariate and multivariate analyses showed that age,body mass index(BMI),preoperative ASA classification,osteo-porosis,surgery duration,and preoperative knee ROM significantly influenced the recovery of joint function postoperatively(P＜0.05).Conclusion Surgical repair of tibial plateau fractures accompanied by intercondylar eminence fractures improves knee joint function,reduces pain,and increases ROM.Postoperative recovery is influenced by factors such as age,BMI,preop-erative ASA classification,osteoporosis,surgery duration,and preoperative knee ROM,which should be closely monitored.
Tibial plateau with intercondylar spine fractureSurgical repairJoint functionInfluencing factors
万方数据
维普
