Comparison of effects of minimally invasive percutaneous locking compression plate internal fixation and open reduction and internal fixation in treatment of patients with tibial plateau fractures
Objective:To compare effects of minimally invasive percutaneous locking compression plate internal fixation and open reduction and internal fixation in treatment of patients with tibial plateau fractures.Methods:A prospective study was conducted on 86 patients with tibial plateau fractures admitted to this hospital from January 2020 to January 2023.According to the random number table method,they were divided into study group and control group,43 cases in each group.The control group was treated with open reduction and internal fixation,while the study group was treated with minimally invasive percutaneous locking compression plate internal fixation.The clinical efficacy,the perioperative index levels,the postoperative knee joint function[Lysholm knee function scale(LKS)]score,the preoperative and postoperative traumatic stress indexes[epinephrine(E),β-endorphin(β-EP),cortisol(Cor)]levels,and the incidence of postoperative complications were compared between the two groups.Results:The excellent and good rate of treatment in the study group was 95.35%(41/43),which was higher than 79.07%(34/43)in the control group,and the difference was statistically significant(P<0.05).The incision length,the fracture healing time and the hospitalization time of the study group were shorter than those of the control group,the intraoperative blood loss was less than that of the control group,and the differences were statistically significant(P<0.05).The LKS score,the maximum knee extension and knee flexion angle levels of the study group were higher than those of the control group,and the differences were statistically significant(P<0.05).Seven days after the surgery,the levels of E,β-EP and Cor in the two groups were higher than those before the surgery,but those in the study group were lower than those in the control group,and the differences were statistically significant(P<0.05).Further,the incidence of complications in the study group was lower than that in the control group,and the difference was statistically significant(P<0.05).Conclusions:Minimally invasive percutaneous locking compression plate internal fixation for the patients with tibial plateau fractures can improve the excellent and good rate of treatment and the levels of knee joint function recovery indexes,and reduce the levels of stress response indexes and the incidence of complications.Moreover,it is superior to open reduction and internal fixation.
Minimally invasive percutaneous locking compression plate internal fixationOpen reduction and internal fixationTibial plateau fractureJoint range of motionJoint functionTraumatic stressComplication
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