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| The efficacy of different surgical methods on the complicated tibial plateau fracture combined with soft tissue injury around the knee joint in the optimal time |
| MIAO Benkuan YU Runze |
| Department of Orthopaedics, Second People's Hospital of Anhui Province, Anhui Province, Hefei 340000, China |
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Abstract Objective To investigate the efficacy of different surgical methods on the complicated tibial plateau fracture combined with soft tissue injury around the knee joint in the optimal time. Methods From October 2013 to September 2017, clinical data of 60 patients with complicated tibial plateau fracture combined with soft tissue injury around the knee joint treated in the Second People's Hospital of Anhui Province were retrospectively analyzed and divided into group A and group B by different surgical methods, with 30 cases in each group. Group A was treated with anteromedial incision and group B was treated with anterolateral combined with posterior medial incision, both performed 6-7 d after the fracture within the optimal timing. The operation time, average bleeding volume, incidence of postoperative infection, drainage volume, the incidences of the delayed healing, the skin necrosis and the postoperative soft tissue injury around the knee joint in the two groups were compared. Results There was no statistically significant difference in the operation time between the two groups(P ＞ 0.05); The average bleeding volume and postoperative drainage volume in group A were lower than those of group B, with statistically significant differences (P ＜ 0.05); the incidences of the delayed healing, postoperative infection and skin necrosis in group B were lower than those of group A, with statistically significant differences(P ＜ 0.05). There were no statistically significant differences in the postoperative fracture healing time, incidence of internal fixation failure and recovery of ligaments around the knee between the two groups (P ＞ 0.05). The effective rate of knee joint scoring systom in group B was higher than that of group A, with statistically significant differences (P ＜ 0.05). Conclusion The anterolateral combined with posterior medial incisionin the optimal time can promote the recovery in patients with complicated tibial plateau fracture combined with soft tissue injury around the knee joint and reduce the incidence of postoperative complications, which is worthy of further clinical application.
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