Objective:To investigate the early clinical efficacy of knee arthroscopy-assisted internal fixation in the Schatzker type Ⅰ-Ⅳ tibial plateau fracture treatment.Methods:According to the inclusion and exclusion criteria,113 patients with Schatzker type Ⅰ-Ⅳ tibial platform fractures admitted to the or-tho department of Renmin Hospital of Wuhan University from January 2018 to June 2021 were retro-spectively analyzed.They were divided into the knee arthroscopy group(56 cases)and the traditional surgical group(57 cases)according to the surgical method.The comparison of general data between the two groups was not statistically significant(P＞0.05).The perioperative indicators,surgical complications,visual analogue scal(VAS),and hospital for special surgery(HSS)were compared,the intra-articular lesions in the knee arthroscopy group were analyzed,and the fracture reduction was assessed by Rasmussen radiological scoring of the postoperative frontal and lateral knee films.Results:There were no significant differences between the knee arthroscopy group and the traditional surgery group in terms of general data at baseline,such as gender,age,right and left side,cause of in-jury,and Schatzker type(P＞0.05).In the knee arthroscopy group,the incision was shorter,the in-traoperative bleeding volume was less,and the postoperative hospital stay was less,but the operation time was longer than that respectively in the traditional surgical group(all P＜0.05).At the end of 6 h,12 h,24 h,and 48 h after the operation,the VAS scores of the knee arthroscopy group were signif-icantly lower than the traditional surgical group(all P＜0.05),but there was no difference in VAS scores after one month,and three months(both P＞0.05).There was no significant difference in the preoperative HSS score between the two groups(P＞0.05),and the knee arthroscopy group had high-er HSS scores at the end of 1,3,and 6 month(s)after operation(P＜0.05).But at the last follow-up,there was no statistical difference in the HSS score(P＞O.05).Rasmussen radiology scores were high-er in the knee arthroscopy group than in the traditional surgery group(P＜0.05).Overall,the ar-throscopic group had fewer complications than the traditional surgical group.Conclusion:The treat-ment of type Schatzker Ⅰ-Ⅳ tibial platform fracture causes small trauma,less bleeding,less pain,and fast recovery of knee function,which has early clinical effects and is worth promoting.
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