Clinical efficacy observation of the four-column concept in the treatment of Schatzker type Ⅰ-Ⅳ tibial plateau fractures
10.3969/j.issn.1673-9701.2025.02.010
- VernacularTitle:四柱理念治疗Schatzker Ⅰ～Ⅳ型胫骨平台骨折的临床疗效分析
- Author:
Shengchao YUAN
1
;
Zheng LI
;
Fuchun LIN
;
Yunfei WU
Author Information
1. 广州中医药大学东莞医院骨科,广东东莞 523000
- Publication Type:Journal Article
- Keywords:
Four-column concept;
Schatzker typing;
Tibial plateau fracture
- From:
China Modern Doctor
2025;63(2):37-40
- CountryChina
- Language:Chinese
-
Abstract:
Objective To assess the validity and utility of the four-column concept by comparing the imaging results and clinical efficacy of the four-column concept with the Schatzker typing concept in the treatment of type Ⅰ-Ⅳ tibial plateau fractures.Methods A total of 70 tibial plateau fracture patients selected from Dongguan Hospital,Guangzhou University of Traditional Chinese Medicine from September 1,2022 to April 30,2023,who were divided into treatment group and control group,with 35 patients in each group.All patients underwent complete X-ray and CT three-dimensional reconstruction examination,and regular postoperative review of orthopantomograms of the knee was performed.Data were collected at 1 month and 1 year postoperatively,including measurements of posterior tibial slope(PTSA),tibial plateau anterior(TPA),and secondary displacement of the articular surfaces,as well as the visual analogue scale(VAS),range of motion(ROM),and Lysholm knee score scale(LKSS).Results The operation duration and bleeding volume in treatment group were less than that in control group,and the difference were statistically significant(P＜0.05).There were significant differentes at 1 month after postoperatively in knee ROM and Lysholm scores between two groups(P＜0.05).There were significant differences in PTSA and articular surface collapse at 1 month and 1 year postoperatively(P＜0.05).Conclusion Surgical treatment of Schatzker type Ⅰ-Ⅳ tibial plateau fracture under the guidance of the four-column concept can effectively restore the alignment of fracture ends and fixation strength,and improve the mobility of the knee joint,which is worthy of popularization and application in the clinic.
