Comparison of therapeutic effect and postoperative recovery of arthroscopy assisted percutaneous internal fixation and traditional surgery for tibial plateau fractures / 中国内镜杂志

ABSTRACT

Objective To compare the effectiveness of arthroscopy assisted percutaneous internal fixation and open reduction of traditional surgery for tibial plateau fractures. Methods Between January 2012 and January 2015, 178 patients with tibial plateau fractures were treated with arthroscopy assisted percutaneous internal fixation (arthroscopy group, n = 99), and control group (n = 79) with traditional surgery for the treatment of tibial plateau fractures. The operation time, fracture healing time, intraoperative and postoperative blood loss and complications were compared between the two groups. Knee function score and the range of motion were measured according to American Hospital for Special Surgery (HSS) score standard. Results Compared with control group, the amount of blood loss in arthroscopic group was less than that in control group (P < 0.05), and there was no significant difference in the operation time compared with control group. After 18～24 months follow-up, the HSS score of the arthroscopic group was higher, the wound healing time was shorter and the complication occurred less, the difference was statistically significant (P < 0.05). Conclusion The two treatment methods can achieve good clinical results, but after arthroscopic microscopic examination of the tibial plateau fractures with benefits such as less blood loss, not increased the operation time, shorter healing time and less complications, higher HSS score while reduced the suffering of patients and improved the efficacy.