Postoperative Recovery and Prognosis Analysis of Percutaneous Cannulated Screw Fixation under Arthroscopy for Schatzker TypeⅠ～Ⅲ Tibial Plateau Fractures
Objective To analyze and compare the postoperative recovery and prognosis at different times of percutaneous cannulated screw fixation under arthroscopy and traditional open reduction and internal fixation for Schatzker type I-III tibial plateau fractures.Methods A total of 114 patients with tibial plateau fractures treated at The First Affiliated Hospital of Nanyang Medical College from January 2021 to December 2023 were selected and divided into two groups based on the treatment method.The control group(n=55)underwent traditional open reduction and internal fixation,while the observation group(n=59)underwent percutaneous cannulated screw fixation under arthroscopy.The perioperative indicators,postoperative recovery,and changes in pain levels,lower limb function,knee joint function,and daily living ability before discharge,1 month after surgery,and 6 months after surgery were compared between the two groups.Results The intraoperative blood loss and postoperative drainage volume in the observation group were significantly lower than those in the control group,with statistically significant differences(P＜0.05).The operation time,time to ambulation,total hospital stay,time to weight-bearing ambulation,and fracture healing time in the observation group were shorter than those in the control group,with statistically significant differences(P＜0.05).Before discharge,1 month after surgery,and 6 months after surgery,the visual analog scale(VAS)scores in the observation group were lower than those in the control group,with statistically significant differences(P＜0.05).There was no statistically significant difference in LEFS scores between the two groups before discharge(P＞0.05).At 1 month and 6 months after surgery,the LEFS scores in the observation group were higher than those in the control group,with statistically significant differences(P＜0.05).The KSS scores in the observation group were higher than those in the control group before discharge,1 month after surgery,and 6 months after surgery,with statistically significant differences(P＜0.05).Conclusion Percutaneous cannulated screw fixation under arthroscopy for tibial plateau fractures is more ideal than traditional open reduction and internal fixation.It not only shows superiority in perioperative indicators but also results in faster postoperative recovery,significant pain reduction,and more noticeable improvements in motor function and daily living ability.
tibial plateau fracturespercutaneous cannulated screw fixationperioperative periodpainmotor function
万方数据
维普
