摘要
Abstract
Objective To compare the effects of double incision double plate internal fixation and unilateral locking plate internal fixation on knee varus angle and posterior slope angle in patients with tibial plateau fractures.Methods A total of 62 patients with tibial plateau fractures admitted to Yiyang County People's Hospital from May 2021 to August 2023 were selected as the research objects.According to the random number table method,they were divided into control group and study group,with 31 patients in each group.The control group was treated with unilateral locking plate internal fixation,and the study group was treated with double incision double plate internal fixation.The operation and recovery indexes(operation time,intraoperative blood loss,incision length,postoperative drainage volume,fracture healing time,ambulation time,hospitalization time),knee function(pain,function,activity,muscle strength,flexion deformity,stability),excellent and good rate of knee function,knee pronation angle and caster angle,quality of life(physical pain,emotional function,physiological function,social function)were compared between the two groups.Results The operation time of the study group was longer than that of the control group,while the intraoperative blood loss,incision length,postoperative drainage volume,fracture healing time,ambulation time and hospitalization time were lower than those of the control group(P＜0.05).After treatment,the knee function score of the study group was higher than that of the control group(P＜0.05).The excellent and good rate of knee joint function in the study group was 96.77%,and the excellent and good rate of knee joint function in the control group was 74.19%,the difference was statistically significant(P＜0.05).After treatment,the knee pronation angle and caster angle of the study group were lower than those of the control group(P＜0.05).After treatment,the quality of life scores of the study group were higher than those of the control group(P＜0.05).Conclusion Double incision double plate internal fixation is more effective in the treatment of patients with tibial plateau fractures,which can promote the rehabilitation of patients,improve their knee joint function and quality of life,as well as the knee joint varus angle and posterior slope angle.It is worthy of clinical application.关键词
双切口双钢板内固定/单侧锁定钢板内固定/胫骨平台骨折/内翻角/后倾角Key words
Double incision double plate internal fixation/Unilateral locking plate internal fixation/Tibial plateau fracture/Pronation angle/Caster angle分类
医药卫生
