Zhang Rongfang, Wang Yuqi, Liu HongBo, Qiao Yuanxin, Zhang Xi
Department of Sports Medicine, Nanyang Traditional Chinese Medicine Hospital (Nanyang Orthopedic Hospital), NanYang, 473000, Henan, People's Republic of China.
Department of Sports Medicine, Weifang Yidu Central Hospital, Weifang, ShangDong, People's Republic of China.
Sci Rep. 2025 May 16;15(1):17081. doi: 10.1038/s41598-025-99644-y.
This study aims to compare the clinical efficacy of arthroscopically assisted treatment versus traditional open reduction for Schatzker type III posterolateral tibial plateau collapse fractures. We retrospectively analyzed clinical data from 40 patients with Schatzker type III fractures (lateral plateau collapse) treated at our hospital between October 2020 and March 2024. Patients were divided into two groups: the arthroscopy group (n = 19) and the open incision group (n = 21). General patient information, hospitalization costs, length of stay, and wound length were collected. All patients were followed for one year postoperatively, with knee function assessed using the Lysholm score. Categorical data were analyzed using the chi-square test, and continuous variables using independent sample t-tests. A p-value < 0.05 was considered statistically significant. There were no significant differences in baseline characteristics between the two groups. The arthroscopy group had significantly shorter operation times and postoperative hospital stays compared to the open incision group (p < 0.05). Additionally, surgical costs were significantly lower in the arthroscopy group (p < 0.05). At 3 months postoperatively, the arthroscopy group demonstrated significantly higher Lysholm scores compared to the open incision group. However, there was no significant difference in Lysholm scores between the two groups at the 6 months and 1-year follow-up (p > 0.05). Compared to traditional open reduction and internal fixation, arthroscopic treatment of Schatzker type III posterolateral tibial plateau collapse fractures offers several advantages, including shorter operative time, lower cost, fewer incision-related complications, no need for secondary removal of internal fixation, faster postoperative functional recovery, and minimally invasive, cosmetically favorable incisions.
本研究旨在比较关节镜辅助治疗与传统切开复位治疗SchatzkerⅢ型胫骨平台后外侧塌陷骨折的临床疗效。我们回顾性分析了2020年10月至2024年3月在我院接受治疗的40例SchatzkerⅢ型骨折（外侧平台塌陷）患者的临床资料。患者分为两组：关节镜组（n = 19）和切开组（n = 21）。收集患者的一般信息、住院费用、住院时间和伤口长度。所有患者术后随访1年，采用Lysholm评分评估膝关节功能。分类数据采用卡方检验分析，连续变量采用独立样本t检验分析。p值<0.05被认为具有统计学意义。两组患者的基线特征无显著差异。与切开组相比，关节镜组的手术时间和术后住院时间明显缩短（p<0.05）。此外，关节镜组的手术费用明显更低（p<0.05）。术后3个月，关节镜组的Lysholm评分明显高于切开组。然而，在6个月和1年随访时，两组的Lysholm评分无显著差异（p>0.05）。与传统切开复位内固定相比，关节镜治疗SchatzkerⅢ型胫骨平台后外侧塌陷骨折具有多个优点，包括手术时间短、费用低、切口相关并发症少、无需二次取出内固定、术后功能恢复快以及微创、美观的切口。
