Clinical observation of MIPPO minimally invasive internal fixation combined with knee arthroscopy in the treatment of Schatzker type Ⅰ-Ⅲ tibial plateau fractures
Objective:To observe the clinical effect of minimally invasive percutaneous plate osteosynthesis(Minimally invasive percutaneous piate osteosyndesis,MIPPO)technique combined with knee arthroscopy in the treatment of Schatzker type Ⅰ-Ⅲ tibial plateau fractures(Tibial plateau fractures,TPF).Method:Sixty Schatzker type Ⅰ-Ⅲ TPF patients admitted to our hospital from January 2021 to December 2023 were selected.According to different surgical methods,patients who received open reduction and internal fixation(Open reduction and internal fixation,ORIF)treatment were included in the control group(n=30),while patients who received MIPPO minimally invasive internal fixation combined with knee arthroscopy treatment were included in the observation group(n=30).Perioperative indicators,HSS(Hospital for special surgery,HSS)knee joint score,hemorheology,and complications were observed in both groups.Result:The observation group had fewer incision sizes,intraoperative bleeding,hospital stay,and fracture healing time compared to the control group(P<0.05).One month and two months after surgery,the HSS knee joint score of the observation group was higher than that of the control group(P<0.05).The whole blood viscosity,plasma viscosity,and erythrocyte sedimentation rate in the observation group were lower than those in the control group 7 days after surgery(P<0.05).The total incidence of postoperative complications in the observation group was 3.33％,lower than the control group's 20.00％(P<0.05).Conclusion:The combination of MIPPO technology with minimally invasive internal fixation and knee arthroscopy for the treatment of Schatzker type Ⅰ-Ⅲ TPF patients has a small incision,less intraoperative blood loss,and fast postoperative recovery.It can effectively improve postoperative knee joint function and hemorheology in patients,with fewer postoperative complications,and is worthy of recommendation.
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