Department of Orthopaedics, The Ohio State University Wexner Medical Center, 241 W 11th Ave, Suite 6065L, OH, 43201, Columbus, USA.
The Ohio State University College of Medicine, Columbus, OH, USA.
Eur J Orthop Surg Traumatol. 2024 Jan;34(1):271-277. doi: 10.1007/s00590-023-03581-3. Epub 2023 Jul 15.
The usefulness of closed suction drains (CSD) after open reduction and internal fixation (ORIF) of tibial plateau fractures is a contested topic. The purpose of this study was to examine the impact of CSD in postoperative outcomes after tibial plateau fracture.
Data were retrospectively collected from patients who underwent primary repair of closed tibial plateau fractures via an anterolateral approach between June 2021 to May 2022 at a single academic center. Fifty-six patients were included and 28 received CSDs at time of surgery. P values less than 0.05 were considered significant.
Fifty-six patients were included. There was no significant difference in demographics, pre- and post-op hemoglobin, estimated blood loss during surgery, length of stay, postoperative MMEs and pain at 3 month follow-up, deep vein thrombosis (DVT), compartment syndrome, flexion contracture, use of incisional vac, infection rate, wound drainage, hematoma, neurologic pain, dehiscence, additional surgery, or range of motion at 3 months follow-up. We noted a significant difference in Defense and Veterans Pain Rating Scale (DVPRS) on POD1, demonstrating greater pain in those in the CSD group.
Our findings suggest that the use of CSD in ORIF of tibial plateau fractures may not be of significant prophylactic benefit. CSDs in ORIF patients were associated with increased early postoperative pain and had no identifiable benefits.
III.
切开复位内固定（ORIF）治疗胫骨平台骨折后使用闭式引流（CSD）的效果存在争议。本研究旨在探讨 CSD 对胫骨平台骨折术后结局的影响。
本研究回顾性收集了 2021 年 6 月至 2022 年 5 月在单家学术中心接受前外侧入路初次修复闭合性胫骨平台骨折患者的数据。共纳入 56 例患者，其中 28 例在手术时使用了 CSD。P 值小于 0.05 被认为具有统计学意义。
共纳入 56 例患者。两组患者在人口统计学、术前和术后血红蛋白、手术期间估计失血量、住院时间、术后 3 个月的最大运动幅度（MME）和疼痛、深静脉血栓形成（DVT）、筋膜间室综合征、屈曲挛缩、切口真空辅助闭合（incisional vac）的使用、感染率、伤口引流、血肿、神经痛、裂开、再次手术或 3 个月时的关节活动度方面无显著差异。我们注意到术后第 1 天的防御和退伍军人疼痛评定量表（DVPRS）有显著差异，表明 CSD 组的疼痛更明显。
我们的研究结果表明，ORIF 治疗胫骨平台骨折时使用 CSD 可能没有明显的预防益处。CSD 与 ORIF 患者的早期术后疼痛增加有关，且没有明显的益处。
III。
