Comparison of clinical efficacy of the double-incision locking plate combined with Osteobone implantation and autogenous iliac bone graft in the treatment of complex tibial plateau fractures

doi:10.3969/j.issn.2095-4344.1204

Abstract

Abstract:

BACKGROUND: There are controversies about the treatment options for tibial plateau fractures.

OBJECTIVE: To compare the clinical efficacy of double-incision locking plate combined with Osteobone implantation and autologous iliac bone graft in the treatment of complicated tibial plateau fractures.

METHODS: Clinical data of 71 patients with complex tibial plateau fractures who underwent open reduction and internal fixation with double-incision locking plate and bone graft from January 2015 to January 2017 at the Affiliated Hospital of Traditional Chinese Medicine of Southwest Medical University were analyzed retrospectively. Among them, 35 cases (observation group) were treated with double-incision locking plate combined with Osteobone implantation bone graft, and 36 cases (control group) were treated with double-incision locking plate combined with autologous iliac bone graft. The informed consents were obtained from all patients and the trial was approved by the Ethics Committee of the hospital. The operation time, intraoperative blood loss, postoperative drainage volume and fracture healing time were compared between two groups. The Knee Injury and Osteoarthritis Outcome score, Hospital for Special Surgery score and Rasmussen imaging score were recorded in detail after operation. During the follow-up, the complications were statistically analyzed.

RESULTS AND CONCLUSION: (1) The two groups of patients healed after treatment. (2) Follow-up results showed that the operation time, intraoperative blood loss, postoperative drainage volume, fracture healing time, pain and symptom points in Knee Injury and Osteoarthritis Outcome score, collapse score and total score in Rasmussen imaging, and incidence of complications in the observation group were significantly better than those in the control group (P < 0.05). (3) The varus score and condylar widening score in Rasmussen imaging, and ability of daily living, sports and entertainment points in Knee Injury and Osteoarthritis Outcome score showed no significant differences between two groups (P > 0.05). (4) These results imply that compared with the autologous iliac bone graft, the treatment of complex tibial plateau fractures with the double-incision locking plate internal fixation combined with Osteobone implantation can shorten the operation time, reduce bleeding and complications, form a stronger support, and accelerate fracture healing.

Key words: complex tibial plateau fractures, Osteobone implantation, iliac bone graft, Rasmussen imaging score, double-incision locking plate

CLC Number:

R459.9

Yi Gang, Zhang Lei, Fu Shijie, Guo Xiaoguang, Liu Yang, Qin Bo, Luo Yuanfa, Wang Guoyou. Comparison of clinical efficacy of the double-incision locking plate combined with Osteobone implantation and autogenous iliac bone graft in the treatment of complex tibial plateau fractures [J]. Chinese Journal of Tissue Engineering Research, 2019, 23(16): 2486-2492.

Figures/Tables 5

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