Department of Orthopaedics, People's Hospital of Zhongjiang County, Zhongjiang, Sichuan, China.
Data Recovery Key Laboratory of Sichuan Province, School of Artificial Intelligence, Neijiang Normal University, Neijiang, Sichuan, China.
Technol Health Care. 2022;30(S1):545-551. doi: 10.3233/THC-228050.
Tibial plateau fracture is a common fracture encountered in the clinic.
This study determined the optimal timing and surgical approach for patients with tibial plateau fracture.
Fifty-two patients with complex tibial plateau fractures were treated in our hospital (the People's Hospital of Zhongjiang County) between 2013 and 2015. These patients were recruited as participants in this study; all patients were randomly allocated into two groups of 26 patients each. Patients in Group 1 underwent single-incision, single-plate knee surgeries via an antero-lateral approach, and patients in Group 2 underwent anterior median incisions of the knee for double-plate surgeries. The effects of the approaches were compared and analyzed.
The best time to perform surgery was 6-8 days post-injury. The anterior median incision, double-plate method approach was better than the antero-lateral, single-incision, single-plate method. For the former method, the healing among middle-aged and young patients was better than that of elderly patients, and that healing of men was slightly better than that of female patients. However, the degree of healing among patients was > 80% at 5 months postoperatively. The purpose of surgical management has been fully achieved.
The optimal timing of surgery for patients with complex tibial plateau fractures is 6-8 days post-injury. The surgical approach needs to be determined based on the actual condition of the patient. However, the treatment effect of an anterior median incision, double-plate method is better, and the recovery rate may approach 80% at 5 months postoperatively.
胫骨平台骨折是临床上常见的骨折。
本研究旨在确定胫骨平台骨折患者的最佳手术时机和手术入路。
2013 年至 2015 年，我院（中江县人民医院）收治 52 例复杂胫骨平台骨折患者，将其作为本研究的研究对象；所有患者均随机分为两组，每组 26 例。组 1 患者采用前外侧单切口单钢板膝关节手术，组 2 患者行膝关节前正中切口双钢板手术。比较分析两种入路方式的效果。
最佳手术时间为伤后 6-8 天。前正中切口、双钢板法优于前外侧切口、单切口、单钢板法。对于前一种方法，中青年患者的愈合情况优于老年患者，男性患者的愈合情况略优于女性患者。但术后 5 个月，患者的愈合程度>80%，手术治疗目的已完全达到。
复杂胫骨平台骨折患者的最佳手术时机为伤后 6-8 天。手术入路需根据患者实际情况确定。但前正中切口、双钢板法的治疗效果较好，术后 5 个月的恢复率可能接近 80%。
