Clinical study on the treatment of tibial plateau fractures with bidirectional traction reduction and internal fixation
Objective To observe the clinical efficacy of bidirectional traction reduction and internal fixation in the treatment of tibial plateau fractures.Methods A retrospective analysis was conducted on the clinical data of 38 patients with unilateral tibial plateau fractures admitted to our hospital from June 2019 to June 2023.19 patients were treated with a bidirectional traction reduction device followed by locking steel plate fixation(traction group),and 19 patients were treated with conventional reduction steel plate internal fixation(incision group).All patients were received satisfactory follow-up.The incision length,intraoperative X-ray fluoroscopy frequency,intraoperative fracture reduction time,surgical bleeding volume,total surgical time,visual analogue scale(VAS)pain score at 2 weeks after surgery,Hospital for Special Surgery(HSS)knee joint score at 6 months after surgery and the postoperative complications were recorded and compared.Results The fractures healed smoothly in all patients.The traction group had advantages in intraoperative fracture reduction and total surgical duration,intraoperative X-ray fluoroscopy frequency,surgical bleeding volume,surgical incision length,and VAS score of postoperative pain at 2 weeks compared to the traditional incision group,with statistically significant differences(P<0.05).The incidence of postoperative complications in the traction group was lower than that in the traditional incision group,and the difference was statistically significant(P<0.05).6 months after surgery,there was no statistically significant difference in HSS knee joint scores between the two groups of patients(P>0.05).Conclusion Compared with traditional methods,the application of bidirectional traction reduction and internal fixation in the treatment of tibial plateau fractures has a lower incidence of postoperative complications,reduced surgical incision,reduced intraoperative bleeding,reduced postoperative pain,fewer intraoperative X-ray fluoroscopy applications,and shorter intraoperative fracture reduction and total surgical time.
万方数据
维普
