Novel reduction technique in surgical treatment of complex tibial plateau fractures
10.3760/cma.j.cn115530-20200103-00002
- VernacularTitle:新复位方法在手术治疗复杂胫骨平台骨折中的应用
- Author:
Congming ZHANG
1
;
Ning DUAN
;
Qian WANG
;
Teng MA
;
Hanzhong XUE
;
Hongliang LIU
;
Chengcheng ZHANG
;
Kun ZHANG
;
Zhong LI
Author Information
1. 西安交通大学附属红会医院创伤骨科医院下肢病区 710054
- From:
Chinese Journal of Orthopaedic Trauma
2020;22(10):908-911
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the efficacy of our novel reduction technique in the surgical treatment of complicated tibial plateau fractures.Methods:From May 2016 to September 2018, 50 fractures of tibial plateau (Schatzker types Ⅴ and Ⅵ) were treated at Department of Orthopaedics and Traumatology, Hong Hui Hospital. They were 34 males and 16 females, aged from 27 to 56 years (average, 42.3 years). They were divided into 2 groups according to the reduction techniques. In the group of novel reduction ( n=23), bone fragments were reduced one by one from the distal to the proximal until the compression fracture was reduced and fixated. In the conventional reduction group ( n=27), the articular surface was reduced first before fixation of articular fragments with distal ends of tibial fracture. The 2 groups were compared in terms of intraoperative bleeding, operation time, tibial plateau angle (TPA) on the knee anteroposterior X-ray film taken on the second day after operation, and rate of acceptable TPA (±5°). Results:There were no significant differences between the 2 groups in general preoperative data, showing comparability ( P>0.05). There were no significant differences between the 2 groups in either operation time (2.7 h ± 0.4 h versus 3.0 h ± 0.6 h) or intraoperative bleeding (215 mL ± 56 mL versus 221 mL ± 52 mL) ( P>0.05). The novel reduction group had a significantly higher rate of acceptable TPA [78.2% (18/23)] than the conventional reduction group [48.1%(13/27)]( P<0.05). Conclusion:In the surgical treatment of complicated tibial plateau fractures, compared with conventional reduction technique, our novel reduction technique can increase the rate of acceptable reduction but not operation time nor intraoperative bleeding.
