Treatment of tibial plateau fractures: A comparison of two different operation strategies with medium-term follow up

Autor: Zhongzheng Wang, Zhanle Zheng, Pengyu Ye, Siyu Tian, Yanbin Zhu, Wei Chen, Zhiyong Hou, Qi Zhang, Yingze Zhang
Jazyk: angličtina
Rok vydání: 2022
Předmět:
Zdroj: Journal of Orthopaedic Translation, Vol 36, Iss , Pp 1-7 (2022)
Druh dokumentu: article
ISSN: 2214-031X
DOI: 10.1016/j.jot.2022.06.005
Popis: Background: The objective of this study was to compare the clinical and radiological outcomes of two surgical methods for tibial plateau fractures (TPFs): minimally invasive surgery (MIS) using a double reverse traction repositor and traditional open reduction internal fixation (ORIF). Methods: From our prospectively collated database, 187 consecutive adult patients with 189 operatively treated TPFs in our level I trauma center were included from January 2015 to March 2018 who had a minimum of three years’ follow-up. All cases were performed by the senior surgeon using either MIS (group 1, 84 patients with 84 TPFs) or ORIF (group 2, 103 patients with 105 TPFs). Details of the demographics, injury mechanism, pre- and postoperative follow-up imaging, operative procedures and complications were collected. The final results from the 36-Item Short-Form Health Survey (SF-36), Western Ontario and McMaster Universities Osteoarthritis index (WOMAC) and Hospital for Special Surgery (HSS) were obtained at the final follow-up. Results: Clinically, significant differences were observed in the WOMAC (pain, P ​= ​0.001; stiffness, P ​
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