Effect of Double Incision and Double Plate Internal Fixation on Fracture Union and Joint Stability of Schatzker V-type Tibial Plateau Fracture

Abstract

Abstract: Objective To investigate the effect of double incision and double plate internal fixation on fracture union and joint stability of Schatzker V-type tibial plateau fracture. Methods Clinical data of 60 patients with Schatzker V-type tibial plateau fracture admitted to Rizhao People's Hospital from January 2020 to December 2022 were retrospectively analyzed. According to different surgical methods, 30 patients treated with double incision and double plate internal fixation were set as the observation group, and 30 patients treated with unilateral locking plate fixation were set as the control group. The operation related indexes, knee function, joint stability, daily living ability, balance ability, quality of life and complications were compared between the two groups. Results There was no significant difference in operation time, incision length and postoperative hospital stay between the two groups (P>0.05). The intraoperative blood loss and postoperative drainage volume in the observation group were higher than those in the control group, and the fracture healing time was shorter than that in the control group (P<0.05). The daily life, pain, joint deformities and total score of WOMAC in the observation group were lower than those in the control group 3 months after surgery, and the difference was statistically significant (P<0.05). The TPA and PA of the observation group were lower than those of the control group 3 months after operation (P<0.05); The BI scores and BBS scores of the observation group were higher than those of the control group 3 months after operation (P< 0.05). The WHOQOL-BREF scores in the observation group were higher than those in the control group at 3 months after operation(P<0.05). There was no significant difference in complications between the two groups (P>0.05). Conclusion Double incision and double plate internal fixation for the treatment of Schatzker V-type tibial plateau fracture is more effective, which can improve joint stability, shorten fracture healing time, enhance daily activity ability, and is safe and reliable.

Key words: tibial plateau fracture, double incision and double plate internal fixation, unilateral locking plate fixation, joint stability, complication

CLC Number:

R687.3

YANG Jin-hu, YANG Da-lei. Effect of Double Incision and Double Plate Internal Fixation on Fracture Union and Joint Stability of Schatzker V-type Tibial Plateau Fracture[J]. ZHONGHUA YANGSHENG BAOJIAN, 2024, 42(3): 49-53.

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