Effect of Internal Fixation with Different Approaches on Postoperative Functional Recovery and Complications in Patients with Tibial Shaft Fracture
Objective To analyze and compare the effects of semi-extended knee lateral parapatellar approach and median infrapatellar approach on functional recovery and complications in patients with tibial shaft fracture.Methods Sixty patients with tibial shaft fracture admitted to Anyang District Hospital from January 2020 to January 2023 were included.The patients were divided into group A and group B by random number table method.Group A was treated with semi-extended knee parapatellar lateral approach for internal fixation,group B was treated with median approach for infrapatellar internal fixation,with 30 cases in each group.The patients were followed up for 5 months after the operation to understand the healing status of the fractures.The operative time,fracture healing time and blood loss were compared between group A and group B.The knee function of patients in group A and group B was evaluated by the knee joint score of hospital for special surgery(HSS)before surgery and 5 months after surgery.Postoperative complications(soft tissue injury,reactive edema,malunion)were observed and recorded in both groups.Results There was no statistical significant difference in surgical time and preoperative HHS scores between group A and group B patients(P＞0.05).Compared with Group B,Group A had shorter hospitalization time,shorter fracture healing time,and less bleeding,with statistical significant differences(P＜0.05).Five months after surgery,HSS scores in group A and group B were higher than those before surgery,and group A was higher than group B,with statistical significant differences(P＜0.05).Compared to Group B,Group A had a lower overall incidence of postoperative complications,with statistical significant differences(P＜0.05).Conclusion Compared with the median infrapatellar approach,semi-extended knee lateral parapatellar approach can reduce the risk of postoperative complications in patients with tibial shaft fractures,and the recovery effect of knee joint function is more significant.
万方数据
维普
