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| The Clinical Effect of Minimally Invasive Combined with Open Surgery for Tibia Plateau Fractures with Meniscus Injury |
| CAO Xiangyu, SHI Litao, ZHANG Lichao |
| The Affiliated Hospital of Chengde Medical College, Hebei Chengde 067000, China |
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Abstract Objective: To investigate the incidence of tibia plateau fractures with meniscus injury and the clinical effect of minimally invasive combined with open surgery. Methods: The incidence of tibia plateau fractures combined with meniscus injury in the type of Schatzter of 360 patients was calculated.Then the patients of type Ⅰ and part of the joint surface didn't subsidence Ⅳ and Ⅴ tibial plateau fractures combined with meniscus injury were divided into minimally invasive open surgery treatment group and conventional open surgery treatment group. The surgical efficacy, the incidence of postoperative complications and the postoperative knee function were observed in the two groups of different injury type. Results: In 360 patients, the incidence of Schatzker Ⅰ, Ⅱ Ⅲ, Ⅳ Ⅴ, Ⅵ tibial plateau fractures combined with meniscus injury was 19.2%, 47.7%, 20.8%, 21.5%, 29.8% and 35.7%, the overall incidence of 28.6%. Compared with the conventional open surgery treatment group, minimally invasive combined with open surgery regimen showed no significant improvement in the incidence of postoperative complications (P>0.05), and significantly increased the surgical efficacy (P<0.01) and postoperative knee joint function (P<0.05). Conclusion: The clinical effect of minimally invasive combined with open surgery was significantly higher than that of conventional open surgery treatment.
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2018, Vol. 24 
