Comparison of the efficacy of arthroscopically-assisted reduction and internal fixation combined with enhanced recovery after surgery and open reduction and internal fixation in the treatment of posterior lateral tibial plateau fractures
10.12025/j.issn.1008-6358.2024.20240628
- VernacularTitle:关节镜辅助复位内固定结合加速康复外科与开放复位内固定治疗胫骨平台后外侧骨折的疗效比较
- Author:
Ruilong HONG
1
;
Junwen DING
1
;
Bo CHEN
1
;
Changqing SHAO
1
;
Lei LIU
1
;
Shiming FENG
1
;
Tao WANG
1
Author Information
1. Department of Orthopaedics, Xuzhou Central Hospital, Xuzhou 221000, Jiangsu, China.
- Publication Type:Shortarticle
- Keywords:
tibial plateau fracture;
arthroscopically-assisted reduction and internal fixation;
enhanced recovery after surgery;
open reduction and internal fixation;
minimally invasive surgery
- From:
Chinese Journal of Clinical Medicine
2024;31(5):783-789
- CountryChina
- Language:Chinese
-
Abstract:
Objective To compare the clinical effects of arthroscopically-assisted reduction and internal fixation (ARIF) combined with enhanced recovery after surgery (ERAS) and open reduction and internal fixation surgery (ORIF) in the treatment of posterior lateral tibial plateau fractures. Methods Seventy patients with posterior lateral tibial plateau fractures in the Department of Orthopaedics, Xuzhou Central Hospital, from January 2020 to November 2022 were retrospectively selected and divided into ARIF group (with ERAS, n＝32) and ORIF group (without ERAS, n＝38) according to the treatment methods. All patients were evaluated for fracture type by imaging examination after admission. The operation time, length of hospital stay, early postoperative pain score (evaluated by visual analogue scale [VAS]), knee joint function (evaluated by hospital for special surgery [HSS] scale) at 3 months and thigh circumference difference at 6 months postoperatively were compared between the two groups. Results The operation time in the ARIF group was significantly shorter than that in the ORIF group ([67.84±9.89] min vs [85.16±9.18] min, P＜0.001), and the length of hospital stay was significantly shorter in the ARIF group ([7.13±1.41] d vs [8.74±1.84] d, P＜0.001). On the third day after operation, the VAS score in the ARIF group was significantly lower than that in the ORIF group ([4.00±1.44] vs [5.39±1.24], P＜0.001). ARIF group had better joint function than ORIF group 3 months after operation, and the difference of 10 cm thigh circumference on patella in ARIF group was smaller than that in ORIF group 6 months after operation. Conclusions Compared to ORIF, patients with posterior lateral tibial plateau fractures treated with ARIF combined with ERAS showed faster postoperative recovery, shorter hospital stay, and more precise clinical efficacy.
