Effect of Shanggu Zaisheng Decoction Assisted Double Incision Metal Implant Internal Fixation in the Treatment of Patients with Schatzker V and Ⅵ Tibial Plateau Bicondylar Fracture
Objective:To analyze the value of Shanggu Zaisheng Decoction assisted double incision metal implant internal fixation in the treatment of Schatzker V and Ⅵ tibial plateau bicondylar fracture.Methods:From February 2019 to February 2021,80 patients with Schatzker V and Ⅵ tibial plateau bicondylar fractures were selected as the research objects.They were divided into control group(n=40,treated with double incision metal implant internal fixation)and observation group(n=40,treated with Shanggu Zaisheng Decoction on the basis of the control group).The clinical efficacy,clinical indicators,bone turnover biochemical markers,complications,patient satisfaction,inflammatory factor levels,and prognosis of the two groups were counted.Results:The total effective rate of the observation group was 95.00%,which was higher than 77.50%of the control group(P＜0.05).The knee joint function and radiological score of the observation group were higher than those of the control group(P＜0.05).The incidence of complications in the observation group was 2.50%,which was lower than 17.50%in the control group(P＜0.05).The satisfaction of patients in the observation group was higher than that in the control group(P＜0.05).CTX and PINP in the observation group were lower than those in the control group(P＜0.05).The levels of IL-1β,IL-6 and IL-22 in the observation group were lower than those in the control group,and the levels of IL-4,IL-13 and sTNF-RI were higher than those in the control group(P＜0.05).The prognosis of the observation group was better than that of the control group(P＜0.05).Conclusion:Shanggu Zaisheng Decoction assisted double incision metal implant internal fixation repair is feasible in the treatment of Schatzker V and Ⅵ tibial plateau bicondylar fracture,which can not only improve its joint function and prognosis,but also reduce the complication rate.At the same time,the biochemical markers of bone turnover and inflammatory factors are controlled after treatment,and the patients are satisfied with the diagnosis and treatment service.
Double incision metal implant internal fixation repairShanggu Zaisheng DecoctionSchatzker V and ⅥTibial plateau bicondylar fractureJoint function
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