The randomized controlled trial of influences of T shape approach on the function of knee joint in the treatment of proximal tibial fractures / 中国骨伤

ABSTRACT

<p><b>OBJECTIVE</b>To investigate the clinical value of T shape approach in the treatment of proximal tibial fractures.</p><p><b>METHODS</b>One handrend and thirteen patients of proximal tibial fractures were randomly divided into two groups. Group A 62 cases underwent the traditional exposure approach. According to Schatzker classification,the cases of II to VI type was 25, 10, 16, 6, 5 respectively. Group B51 cases underwent T shape approach ahead of knee joint, the cases of II to VI type was 21, 8, 13, 5, 4 respectively. All data were analyzed by SPSS 10.0 to compare operation time, blood loss, duration of hospitalization, healing time, the time of osseous union and complications after operation.</p><p><b>RESULTS</b>Sixty patients in group A and 50 patients in group B were followed-up from 12 to 24 months. (1) Operation timegroup B was longer than A (P < 0.01). (2) Mean blood loss and duration of hospitalization was the same. (3) Clinical healing timegroup B was shorter. (4) Mean time of osseous union 48 group B was shorter. Function of knee group B was better than group A. (Complication group B was less than group A.</p><p><b>CONCLUSION</b>As compared with traditional exposure approach, T shape approach of knee joint had advantages of small scar, fewer complications, faster union of fracture and earlier recovery of joint function. The approach is valuable for the treatment of proximal tibial fractures.</p>