Objective To observe the clinical effect of an extendable external fixator in temporary fixation of Schatzker type Ⅴand Ⅵ tibial plateau fractures in the perioperative period.Methods A retrospective analysis was performed on 46 cases of Schatzker type Ⅴ or Ⅵ tibial plateau fractures diagnosed and treated from December 2015 to December 2018,and they were di-vided into extendable external fixator group(23 cases)and bone traction group(23 cases)according to perioperative manage-ment.Preoperative waiting time,hospital stay,operation time,thrombosis rate,and pain VAS score at 12 h,48 h and 72 h after surgery were compared between the extendable external fixator group and the bone traction group.Results All 46 cases were followed up for 12 to 30 months(mean 22.2 months).The preoperative waiting time,hospital stay and operation time of the ex-tendable external fixator group were less than those of the bone traction group,and the differences were statistically significant(P＜0.05).The thrombosis rate in the extendable external fixator group was lower than that in the bone traction group,and the dif-ference was statistically significant(P＜0.05).Pain VAS scores at 12 h,48 h and 72 h in the extendable external fixator group were lower than those in the bone traction group,and the difference was statistically significant(P＜0.05).Conclusion Periop-erative application of the extendable external fixator for Schatzker type Ⅴ and Ⅵ tibial plateau fractures can reduce the pain of patients,the preoperative waiting time,operation time and hospital stay,and facilitate perioperative nursing and the fracture re-duction in the later stage,which conforms to the concept of accelerated rehabilitation surgery.
Tibial plateau fractureExternal fixatorBone tractionPerioperative periodAccelerated rehabilitation surgery
万方数据
维普
