Optimal surgical timing and approach for tibial plateau fracture

Author:

Li Kai11,Zhang Shuang12345,Qiu XuZhong1,Huang HaiJun1,Sheng Hao1,Zhang Yun1,Chang Jihui1,Kuang Jiangming2,Yang Jining2

Affiliation:

1. Department of Orthopaedics, People’s Hospital of Zhongjiang County, Zhongjiang, Sichuan, China

2. Data Recovery Key Laboratory of Sichuan Province, School of Artificial Intelligence, Neijiang Normal University, Neijiang, Sichuan, China

3. School of Life Science and Technology, University of Electronic Science and Technology of China, Chengdu, Sichuan, China

4. High Field Magnetic Resonance Brain Imaging Laboratory of Sichuan, University of Electronic Science and Technology of China, Chengdu, Sichuan, China

5. Key Laboratory for Neuroinformation, Ministry of Education, University of Electronic Science and Technology of China, Chengdu, Sichuan, China

Abstract

BACKGROUND: Tibial plateau fracture is a common fracture encountered in the clinic. OBJECTIVE: This study determined the optimal timing and surgical approach for patients with tibial plateau fracture. METHODS: 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. RESULTS: 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. CONCLUSION: 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.

Publisher

IOS Press

Subject

Health Informatics,Biomedical Engineering,Information Systems,Biomaterials,Bioengineering,Biophysics

同舟云学术

1.学者识别学者识别

2.学术分析学术分析

3.人才评估人才评估

"同舟云学术"是以全球学者为主线,采集、加工和组织学术论文而形成的新型学术文献查询和分析系统,可以对全球学者进行文献检索和人才价值评估。用户可以通过关注某些学科领域的顶尖人物而持续追踪该领域的学科进展和研究前沿。经过近期的数据扩容,当前同舟云学术共收录了国内外主流学术期刊6万余种,收集的期刊论文及会议论文总量共计约1.5亿篇,并以每天添加12000余篇中外论文的速度递增。我们也可以为用户提供个性化、定制化的学者数据。欢迎来电咨询!咨询电话:010-8811{复制后删除}0370

www.globalauthorid.com

TOP

Copyright © 2019-2024 北京同舟云网络信息技术有限公司
京公网安备11010802033243号  京ICP备18003416号-3