Comparison of Different Surgical Approaches in the Treatment of Old Tibial Plateau Fractures
Objective To compare the efficacy of anterior and posterior surgical approach in the treatment of old posterolateral tibial plateau fractures.Methods The data of 47 patients with old posterolateral tibial plateau fractures treated in ZhouKou Central Hospital from December 2019 to December 2021 were collected and collated.According to different surgical approaches,47 patients were divided into two groups:group A accepted anterolateral osteotomy approach(24 cases)and group B accepted posterior approach(23 cases).The interval from initial operation to revision operation was 6-12 months(mean 9.6 months).The patients in the two groups were treated with open reduction and internal fixation with steel plate through anterior external approach and posterior approach,respectively.The operation time,intraoperative blood loss,fracture healing time and weight bearing time,as well as Rasmussen score and Hospital for Special Surgery(HSS)score at the last follow-up were compared between the two groups.Results All patients were followed up for 12-24 months(mean 18.7 months).The operation time in group A was shorter than group B,and intraoperative blood loss was lower than in group B(P＜0.05).There was no statistical difference in fracture healing time and complete weight bearing time between the two groups(P＞0.05).At the last follow-up,there was no statistical difference in the rates of Rasmussen score and knee joint function HSS score between the two groups(P＞0.05).Conclusion Compared with the traditional posterior approach,anterolateral intra-articular osteotomy for the treatment of old posterolateral tibial plateau fractures can shorten the operation time,reduce the amount of intraoperative blood loss,and the clinical effect is reliable.
万方数据
维普
