Observation on the Effect of Locked Hollow Screw Internal Fixation under Arthroscope in the Treatment of Schatzke Type Ⅲ Tibial Plateau Fracture Patients
Objective:To observe the clinical effect of arthroscopy-assisted locking hollow screw internal fixation in the treatment of Schatzke III type tibial plateau fracture paten.Methods:A total of 62 patients with Schatzker type III tibial plateau fracture admitted to Tianjin Port Hospital from June 2021 to March 2023 were selected as the study objects,and were divided into a locking hollow screw group and a plate internal fixation group according to random number table method,with 31 cases in each group.Arthroscopically assisted reduction and internal fixation of tibial plateau fracture were performed in both groups,the locking hollow screw group was used for locking hollow screw internal fixation,and the plate group was used plate for internal fixation.The anatomic and functional recovery indexes,perioperative indexes and the incidence of adverse reactions were compared between the two groups.Results:Before surgery and 1 week after surgery,there was no significant difference in fracture separation distance between the two groups(P>0.05).Before surgery and 1 year after surgery,there were no significant differences in knee functional recovery indexes between the two groups(P>0.05).Compared with the plate internal fixation group,the locked hollow screw group had less intraoperative blood loss,less hospitalization cost,shorter operation time and total incision length,and lower VAS score at 3 days after surgery,with statistical significances(P<0.05).There was no significant difference in length of hospital stay and VAS score 1 week after surgery between the two groups(P>0.05).There was no significant difference in the incidence of adverse reactions between the two groups(P>0.05).Conclusion:In arthroscopy-assisted reduction and internal fixation of tibial plateau fracture,compared with plate internal fixation,locking hollow screw internal fixation has advantages in shortening the operation and hospital stay of patients and the length of incision,reducing the cost of treatment and the amount of intraoperative blood loss,and reducing the degree of postoperative short-term pain,but there is no difference in long-term effect and incidence of adverse reactions between the two methods.
Schatzke type IIITibial plateau fractureLocking hollow screwInternal fixationArthroscope
国家科技期刊平台
NSTL
万方数据
