Published online Sep 26, 2020. doi: 10.12998/wjcc.v8.i18.4067
Peer-review started: June 16, 2020
First decision: July 25, 2020
Revised: August 3, 2020
Accepted: August 20, 2020
Article in press: August 20, 2020
Published online: September 26, 2020
Processing time: 97 Days and 16.1 Hours
Tibial plateau fracture is one of the most common fracture types, mainly occurring in adolescents. After fracture occurs, knee joint swelling, pain and limited activity impact the patient’s exercise habits and lifestyle. The incidence of accidents, such as mechanical accidents and falling from a great height, is increasing, and the incidence of fractures of the tibial plateau are increasing year by year. In view of the great influence of fractures on patients’ daily lives, clinical diagnosis and treatment-related research is highly valued. X-ray, computed tomography (CT) and magnetic resonance imaging (MRI) can be used for diagnosis. According to clinical research, fractures generally occupy a three-dimensional space, and only two-dimensional plane observation has some limitations and cannot provide an accurate and reliable diagnostic basis for patients with compression, comminution and other fractures. CT and MRI have been actively used in the diagnosis of various types of clinical fractures in recent years. They have higher diagnostic efficacy than X-ray films. However, some scholars believe that CT is also prone to errors in clinical applications. The volume effect leads to missed diagnoses and misdiagnoses of some cases, and the multidirectional scanning of MRI technology can effectively overcome the shortcomings of CT.
In clinical diagnosis and treatment, accurate imaging diagnosis can provide information about the type of fracture and whether it is associated with injury in subsequent treatment plans. It plays an important guiding role in the formulation. In order to facilitate the selection of clinical examination protocols, this study adopted the method of comparative study to further observe the diagnostic effect of the two examination protocols on tibial plateau fracture.
Our study aimed to investigate the value of MRI and CT in the clinical diagnosis of tibial plateau fractures. Through a retrospective analysis of 120 patients with tibial plateau fracture, we compared the two methods to provide a better current examination in the diagnosis and treatment of tibial plateau fractures.
Statistical analysis was performed with the Statistic Package for Social Science software package. Continuous data with a normal distribution were analyzed with an independent sample t test, and frequency data (%) were analyzed using χ2 test. P < 0.05 represented a statistically significant difference in the comparison of data between the groups.
Based on the results of surgical cases, there was no significant difference in the coincidence rate of B3, C2 and C3 fracture diagnosis between the two methods (P > 0.05). The coincidence rate of B1, B2 and C1 fracture diagnosis was significantly higher for MRI than for CT (P < 0.05). There was no significant difference between nuclear MRI and CT in the bone defect, fracture site, fracture displacement or comminution (P > 0.05). There was no significant difference in the detection rate of fractures and the detection rate of combined injuries between MRI and CT (P > 0.05). However, the accuracy of fracture analysis was significantly higher for MRI (P < 0.05).
MRI and CT have good diagnostic typing in the diagnosis of tibial plateau fractures, but MRI is more accurate and may be preferred.
This study indicates that MRI is more advantageous in the clinical diagnosis and treatment of tibial plateau fractures.