Treatment of Proximal Tibial Extra-articular Fractures with Suprapatellar Approach and Tibial Intramedullary Nail Technique
Objective To explore the clinical effect of suprapatellar approach tibial intramedullary nail technology in the treatment of proximal tibial extra-articular fractures.Methods A randomized controlled trial was conducted.According to the random number table method,60 patients with proximal tibial extra-articular fractures admitted to Nanyang Traditional Chinese Medicine Hospital from March 2019 to December 2022 were divided into group A and group B,with 30 cases in each group.Group A was treated with conventional infrapatellar tibial intramedullary nailing,while group B was treated with suprapatellar tibial intramedullary nailing.The surgical related indicators,pain level,knee joint function,and incidence of complications were compared between the two groups.Results The surgical time in group B was shorter than that in group A,and the number of intraoperative fluoroscopy was less than that in group A(P＜0.05).However,there were no differences in intraoperative bleeding,complete weight-bearing time,fracture healing time,and hospital stay between the two groups(P＞0.05).At 6 months after surgery,the visual analogue scale(VAS)score in group B was lower than that in group A,while the Lysholm knee joint score(LKS)score and knee flexion range of motion were higher than those in group A(P＜0.05).The incidence of postoperative complications in group B was lower than that in group A(P＞0.05).Conclusion The suprapatellar approach with tibial intramedullary nail technology can shorten the surgical time,reduce the number of intraoperative fluoroscopy,alleviate postoperative pain,promote the recovery of knee joint function,and reduce the incidence of postoperative complications in the treatment of proximal tibial extra-articular fractures.
proximal tibial extra-articular fracturesuprapatellar approachsubpatellar approachtibial intramedullary nail
万方数据
维普
