摘要
Abstract
Objective:To discuss the clinical effect of improved double reverse traction technique in the treatment of tibial plateau fracture.Method:A total of 60 patients with tibial plateau fracture treated in Dangyang People's Hospital from April 2022 to January 2024 were selected and divided into study group and control group by random number table method,with 30 cases in each group.The control group was treated with traditional open reduction treatment,and the study group was treated with improved double reverse traction technique.The excellent recovery rate of knee joint,perioperative indexes,pain degree,knee joint function and knee joint motion range between the two groups were compared.Result:There was no significant difference in the excellent and good recovery rate of knee joint between the two groups(P>0.05).The operation time,incision length,hospital stay and fracture healing time of the study group were shorter than those of the control group,and the intraoperative blood loss was less than that of the control group,the differences were statistically significant(P<0.05).At 3 and 6 months after surgery,the visual analogue scale(VAS)scores of both groups were lower than those of the first day after surgery,and those in the study group were lower than those in the control group,the differences were statistically significant(P<0.05).At 1 month,3 and 6 months after surgery,the hospital for special surgery(HSS)score of the study group were higher than those of the control group,the differences were statistically significant(P<0.05).At 1 month,3 and 6 months after operation,knee flexion and extension motion in the study group were higher than those in the control group,the differences were statistically significant(P<0.05).Conclusion:The application of modified double reverse traction technique in the treatment of patients with tibial plateau fractures can improve perioperative indexes,reduce the degree of pain,and improve the function and range of motion of the knee joint.关键词
改良双反牵引技术/胫骨平台骨折/膝关节功能Key words
Improved double reverse traction technique/Tibial plateau fracture/Knee joint function
