Clinical efficacy of double-incision three-plate internal fixation surgery for complex tibial plateau fractures
Objective To explore the clinical effect of using double-incision three-plate internal fixation surgery for the treatment of complex tibial plateau fractures(CTPF)in patients.Methods A total of sixty patients with CTPF who received treatment in Fan County People's Hospital from June 2018 to June 2023 were randomly divided into study group(n=30)and control group(n=30)using a random number table method.The control group underwent unilateral steel plate internal fixation surgery,while the study group underwent double-incision three-plate internal fixation surgery.The perioperative indicators,knee joint recovery,reduction effect,tibial plateau inversion angle,tibial plateau medial posterior tilt angle,and complications of the two groups were compared.Results The study group had shorter surgery,fracture healing,and hospital stay compared to the control group,less intraoperative bleeding,and earlier weight-bearing time,with statistically significant differences(P＜0.05);Six months after surgery,the knee joint score of American hospital for special surgery(HSS)of the two groups increased compared to before surgery,and the HSS score of the study group was higher than that of the control group,with statistical significance(P＜0.05);The excellent rate of postoperative reduction in the study group(100.00%)was higher than that in the control group(80.00%),and the difference was statistically significant(P＜0.05);Two months after surgery,the tibial plateau inversion angle and medial posterior inclination angle of the two groups increased compared to before surgery,and the tibial plateau inversion angle and medial posterior inclination angle of the study group were greater than those of the control group,with statistical significance(P＜0.05);The incidence of postoperative complications in the study group(6.67%)was lower than that in the control group(30.00%),and the difference was statistically significant(P＜0.05).Conclusion The application of double-incision three-plate internal fixation in CTPF patients can improve perioperative indicators,promote joint reduction and functional recovery,and reduce the risk of complications.
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