Comparative Analysis of Efficacy of Minimally Invasive Plate Osteosynthesis Combined with“Xugu Huoxue Decoction” for Treatment of Tibial Plateau Fracture Combined with Posterolateral Corner Injuries
ZHOU Li,TANG Ji-ping,LIN Chun-yang
Shenzhen Luohu District Traditional Chinese Medicine Hospital,Shenzhen 518021, China
Abstract:
Objectives To discuss the curative effect and comparative analysis of minimally invasive plate osteosynthesis (MIPO) combined with the classical prescriptions “Xugu Huoxue Decoction” (XHD) for the treatment of tibial plateau fracture combined with posterolateral corner injuries. Methods A retrospective analysis was performed on 87 patients with tibial plateau fracture combined with posterolateral corner injuries ofn the knee joint admitted from January 2015 to January 2018; the patients in both groups were treated with MIPO combined with XHD, postoperative rehabilitation exercise, and hospital for spedcial surgery (HSS) was used to evaluate the knee function at different time point after surgery; the tibial plateau deformity of knee joint [TPA,PA], varus angle of lower limb, function of external rotation test, and complications preoperative, postoperative 3 months, postoperative 6 months, and postoperative 1 year after surgery were observed. Results Postoperative HSS pain, range of motion, muscle strength, flexion deformity and stability scores at different time points were higher than those before surgery (P <0.05); preoperative limb of lower limb strength line valgus angle for (–9.62 ±0.87)?, after 3 months at (3.26±1.03)?, after 6 months at (3.84 ±1.21)?, after 1 years improved to (4.23±1.44)?, the differences at different time points were statistically significant (P <0.05); preoperative external rotation test was (13.57±2.56) scores, 3 months after surgery was (7.34±1.24) scores, 6months after surgery was (4.03±1.02) scores, 1 year after surgery was (3.67±0.82) scores, the differences at different time points were statistically signi?cant (P<0.05); TPA increased 3 months after surgery, 6 months after surgery and 1 year after surgery (P<0.05), there was no signi?cant difference in postoperative time points (P>0.05); PA was lower 3 months after surgery, 6 months after surgery and 1 year after surgery (P<0.05); There were statistically signi?cant differences between 1 year after surgery, 3 months after surgery and 6 months after surgery (P<0.05); 1 case of poor recovery of articular surface and 1 case of fracture re-collapse without infection or failure of internal ?xation were followed up within 1 year after surgery. Conclusions MIPO combined with the classical prescriptions XHD for the treatment of tibial plateau fracture combined with posterolateral corner injuries is an effective and safe treatment with fewer complications and faster recovery of knee function, providing a reliable theoretical basis for clinical research.
