Clinical study of homeopathic bidirection-traction reduction device for tibial plateau fractures

Abstract

Objective To investigate the clinical effect of homeopathic bidirection-traction reduction device in the treatment of tibial plateau fractures. Methods A retrospective case-control study was conducted to analys the clinical data of 87 patients with tibial plateau fractures who were treated in Shanghai Tenth People's Hospital from January 2016 to April 2017. According to the method of treatment, patients were divided into the bidirection-traction group and open reduction group. The bidirection-traction group applied homeopathic bidirection-traction device (47 cases), open reduction group including 40 cases, both group used locking plate fixation. The operative time, intraoperative blood loss and functional recovery of the affected knee were evaluated by Rasmussen imaging score at 6 months after operation. Results All patients were followed up for 5-8 months with an average of (6.4±1.0) months. The duration of operation was (108±15) min for the bidirection-traction group and (129±16) min for the open reduction group, there was significant difference between two groups (t=6.295, P<0.05). The blood loss in the bidirection-traction group was (67±23) ml and the open reduction group was (93±22) ml (t=5.313, P<0.05). The mean score of Rasmussen imaging score was (23±04), the excellent and good rate was 80.9%, and the average score of open reduction was (20±5), the excellent and good rate was 65%. There was significant difference between two groups (t=4.599, P<0.05). Both groups got bony union without loss of restitution, looseness and plate rupture. In the open reduction group, there were 3 incision infection after operation, which healed well after strengthening anti-infective dressing. Conclusions Homeopathy reduction has a high success rate in the treatment of tibial plateau fractures. Compared with open reduction, it can shorten the operation time, reduce the intraoperative blood loss and restore the knee joint function well. Key words: Tibial fractures; Suigical procedures, minimally invasive; Traction; Homeopathic reduction