Comparison of clinical effects of useing cross-articular external fixator at different times in the treatment of Schatzker type Ⅵ tibial plateau fractures
Objective To compare the clinical effects of useing cross-articular external fixator at different times in the treatment of Schatzker type Ⅵ tibial plateau fractures.Methods A total of 78 patients with Schatzker type Ⅵ tibial plateau fractures admitted from January 2020 to May 2022 were selected and divided into control group and observation group according to different timing of treatment with cross-articular external fixator,with 39 cases in each group.The control group was treated with cross-articular external fixator at 24-72 h after fracture,and the observation group was treated with cross-articular external fixator within 12 h after fracture.The surgical effects of the two groups were compared.Results The excellent and good rate of treatment of the observation group was higher than that of the control group(P＜0.05).The incidence of blisters after stage Ⅰ operation and the degree of swelling after stage Ⅰ operation in the observation group were lower than those in the control group,and the time from admission to stage Ⅱ operation,hospitalization time and fracture healing time were shorter than those in the control group(P＜0.05).After operation,the levels of substance P(SP),prostaglandin E2(PGE2)and bradykinin(BK)in the observation group were lower than those in the control group(P＜0.05).After operation,the levels of tumor necrosis factor-α(TNF-α),interleukin-1β(IL-1β)and matrix metalloproteinase-3(MMP-3)in the observation group were lower than those in the control group(P＜0.05).Conclusion Early application of cross-articular external fixator can help to reduce the soft tissue injury around patients with Schatzker type Ⅵ tibial plateau fracture,improve the therapeutic effect,and also reduce pain and inflammatory response,which is worthy of clinical promotion.
different timingcross-articular external fixatorSchatzker type Ⅵ tibial plateau fractureperipheral soft tissue injury
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