Cargando…

The comparison of clinical effect, knee function, prognosis of double plate fixation and locking plate internal fixation for tibial plateau fractures

OBJECTIVES: The purpose of this study was to investigate the clinical effect, knee function improvement and prognosis of double plate internal fixation and locking plate internal fixation in the treatment of tibial plateau fractures. METHODS: Clinical data from 96 tibial plateau fracture patients tr...

Descripción completa

Detalles Bibliográficos
Autores principales: Zhang, Qing, Zhao, Jianzhong, Zhang, Guangcheng, Tang, Jiazhu, Zhu, Wei, Nie, Mingjun
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Professional Medical Publications 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9121952/
https://www.ncbi.nlm.nih.gov/pubmed/35634606
http://dx.doi.org/10.12669/pjms.38.4.5340
_version_ 1784711250188435456
author Zhang, Qing
Zhao, Jianzhong
Zhang, Guangcheng
Tang, Jiazhu
Zhu, Wei
Nie, Mingjun
author_facet Zhang, Qing
Zhao, Jianzhong
Zhang, Guangcheng
Tang, Jiazhu
Zhu, Wei
Nie, Mingjun
author_sort Zhang, Qing
collection PubMed
description OBJECTIVES: The purpose of this study was to investigate the clinical effect, knee function improvement and prognosis of double plate internal fixation and locking plate internal fixation in the treatment of tibial plateau fractures. METHODS: Clinical data from 96 tibial plateau fracture patients treated at our hospital were analyzed retrospectively. Of these, 46 had been treated using locking plate internal fixation and 50 were treated with double T-shaped plate fixation. Clinically related indices, Hospital for Special Surgery (HSS) score of knee function, and ability of daily living (ADL) score were evaluated during postoperative follow-up. RESULTS: No significant differences were observed in pre-operative patient characteristics in both groups. Healing time, time to weight-bearing, tibial plateau angle (TPA) and lateral posterior angle (PA) were all superior in the locking plate fixation group compared to the double plate fixation group. At three months post-operative visit, range of motion, knee function, flexion deformity, muscle strength, pain, and stability metrics were all superior in the locking plate fixation group compared to the double plate fixation group. ADL scores were also higher in the locking plate fixation group than in the double plate fixation group at three and six months follow-up. CONCLUSIONS: The clinical effect, knee function improvement and prognosis of locking plate internal fixation in the treatment of tibial plateau fractures are better than those of double plate fixation.
format Online
Article
Text
id pubmed-9121952
institution National Center for Biotechnology Information
language English
publishDate 2022
publisher Professional Medical Publications
record_format MEDLINE/PubMed
spelling pubmed-91219522022-05-27 The comparison of clinical effect, knee function, prognosis of double plate fixation and locking plate internal fixation for tibial plateau fractures Zhang, Qing Zhao, Jianzhong Zhang, Guangcheng Tang, Jiazhu Zhu, Wei Nie, Mingjun Pak J Med Sci Original Article OBJECTIVES: The purpose of this study was to investigate the clinical effect, knee function improvement and prognosis of double plate internal fixation and locking plate internal fixation in the treatment of tibial plateau fractures. METHODS: Clinical data from 96 tibial plateau fracture patients treated at our hospital were analyzed retrospectively. Of these, 46 had been treated using locking plate internal fixation and 50 were treated with double T-shaped plate fixation. Clinically related indices, Hospital for Special Surgery (HSS) score of knee function, and ability of daily living (ADL) score were evaluated during postoperative follow-up. RESULTS: No significant differences were observed in pre-operative patient characteristics in both groups. Healing time, time to weight-bearing, tibial plateau angle (TPA) and lateral posterior angle (PA) were all superior in the locking plate fixation group compared to the double plate fixation group. At three months post-operative visit, range of motion, knee function, flexion deformity, muscle strength, pain, and stability metrics were all superior in the locking plate fixation group compared to the double plate fixation group. ADL scores were also higher in the locking plate fixation group than in the double plate fixation group at three and six months follow-up. CONCLUSIONS: The clinical effect, knee function improvement and prognosis of locking plate internal fixation in the treatment of tibial plateau fractures are better than those of double plate fixation. Professional Medical Publications 2022 /pmc/articles/PMC9121952/ /pubmed/35634606 http://dx.doi.org/10.12669/pjms.38.4.5340 Text en Copyright: © Pakistan Journal of Medical Sciences https://creativecommons.org/licenses/by/3.0/This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0 (https://creativecommons.org/licenses/by/3.0/) ), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Original Article
Zhang, Qing
Zhao, Jianzhong
Zhang, Guangcheng
Tang, Jiazhu
Zhu, Wei
Nie, Mingjun
The comparison of clinical effect, knee function, prognosis of double plate fixation and locking plate internal fixation for tibial plateau fractures
title The comparison of clinical effect, knee function, prognosis of double plate fixation and locking plate internal fixation for tibial plateau fractures
title_full The comparison of clinical effect, knee function, prognosis of double plate fixation and locking plate internal fixation for tibial plateau fractures
title_fullStr The comparison of clinical effect, knee function, prognosis of double plate fixation and locking plate internal fixation for tibial plateau fractures
title_full_unstemmed The comparison of clinical effect, knee function, prognosis of double plate fixation and locking plate internal fixation for tibial plateau fractures
title_short The comparison of clinical effect, knee function, prognosis of double plate fixation and locking plate internal fixation for tibial plateau fractures
title_sort comparison of clinical effect, knee function, prognosis of double plate fixation and locking plate internal fixation for tibial plateau fractures
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9121952/
https://www.ncbi.nlm.nih.gov/pubmed/35634606
http://dx.doi.org/10.12669/pjms.38.4.5340
work_keys_str_mv AT zhangqing thecomparisonofclinicaleffectkneefunctionprognosisofdoubleplatefixationandlockingplateinternalfixationfortibialplateaufractures
AT zhaojianzhong thecomparisonofclinicaleffectkneefunctionprognosisofdoubleplatefixationandlockingplateinternalfixationfortibialplateaufractures
AT zhangguangcheng thecomparisonofclinicaleffectkneefunctionprognosisofdoubleplatefixationandlockingplateinternalfixationfortibialplateaufractures
AT tangjiazhu thecomparisonofclinicaleffectkneefunctionprognosisofdoubleplatefixationandlockingplateinternalfixationfortibialplateaufractures
AT zhuwei thecomparisonofclinicaleffectkneefunctionprognosisofdoubleplatefixationandlockingplateinternalfixationfortibialplateaufractures
AT niemingjun thecomparisonofclinicaleffectkneefunctionprognosisofdoubleplatefixationandlockingplateinternalfixationfortibialplateaufractures
AT zhangqing comparisonofclinicaleffectkneefunctionprognosisofdoubleplatefixationandlockingplateinternalfixationfortibialplateaufractures
AT zhaojianzhong comparisonofclinicaleffectkneefunctionprognosisofdoubleplatefixationandlockingplateinternalfixationfortibialplateaufractures
AT zhangguangcheng comparisonofclinicaleffectkneefunctionprognosisofdoubleplatefixationandlockingplateinternalfixationfortibialplateaufractures
AT tangjiazhu comparisonofclinicaleffectkneefunctionprognosisofdoubleplatefixationandlockingplateinternalfixationfortibialplateaufractures
AT zhuwei comparisonofclinicaleffectkneefunctionprognosisofdoubleplatefixationandlockingplateinternalfixationfortibialplateaufractures
AT niemingjun comparisonofclinicaleffectkneefunctionprognosisofdoubleplatefixationandlockingplateinternalfixationfortibialplateaufractures