Effect of open reduction and internal fixation in the treatment of 50 patients with tibial plateau fractures and its influence on knee functional recovery

Abstract

Objective To evaluate the effect of open reduction and internal fixation in the treatment of 50 patients with tibial plateau fractures(FTP), and its influence on knee functional recovery. Methods 50 patients with FTP were treated with open reduction and internal fixation.The operation time, blood loss, gypsum braking time, hospitalization time and fracture healing time were recorded, and the incidence of complication was analyzed as well.3 days after operation, imaging evaluation was performed to evaluate the effect of operation reduction.The patients were followed up for 6 months.The HSS scores before and after operation were compared, and the clinical efficacy was evaluated by HSS score. Results 50 FTP patients treatment with internal fixation were successful.The operation time was (101.36±15.63)min, the blood loss was (291.45±34.98)mL, the hospitalization time was (6.85±1.21)d, the postoperative plaster brake time was (20.35±3.67)d, the fracture healing time was (87.63±2.36)d.50 patients were all satisfied to reset, excellent reduction in 40 cases, good reduction in 7 cases, satisfaction in 3 cases, postoperative incision infection in 2 cases, pulmonary embolism in 1 case, nonunion in 1 case and fascia compartment syndrome in 1 case, the total incidence rate of complications was 10.0%.6 months after operation, the HSS scores(pain, function, range of motion, muscle strength, flexion deformity, joint stability) were significantly higher than before operation(t=12.070, 17.241, 19.986, 10.850, 21.098, 10.238, all P=0.000). Of 50 cases with FTP, excellent in 23 cases, good in 19 cases, fair in 7 cases and poor in 1 case, the excellent and good rate was 84.0%. Conclusion Open reduction and internal fixation in the treatment of FTP gets satisfactory reduction effect, it has certain safety, and it can effectively promote fracture healing and knee functional recovery and improvement, its clinical effect is remarkable. Key words: Tibial fractures; Fracture fixation, internal; Bone wires; Surgical reduction injury