Li HF, Yu T, Zhu XF, Wang H, Zhang YQ. Locking compression plate + T-type steel plate for postoperative weight bearing and functional recovery in complex tibial plateau fractures. World J Clin Cases 2022; 10(2): 502-510 [PMID: 35097075 DOI: 10.12998/wjcc.v10.i2.502]
Corresponding Author of This Article
Hai-Feng Li, MD, Associate Professor, Department of Orthopaedic Surgery, Tongji Hospital, School of Medicine, Tongji University, No. 389 Xincun Road, Shanghai 200065, China. lihaifeng501@163.com
Research Domain of This Article
Orthopedics
Article-Type of This Article
Retrospective Study
Open-Access Policy of This Article
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World J Clin Cases. Jan 14, 2022; 10(2): 502-510 Published online Jan 14, 2022. doi: 10.12998/wjcc.v10.i2.502
Table 1 Comparison of the operation status and length of postoperative hospital stay between the two groups (mean ± SD)
Group
n
Operation time (min)
Surgical bleeding (mL)
Anterior external incision length (cm)
Intraoperative bone graft (g)
Postoperative drainage (mL)
Hospital stays (d)
Study group
49
118.3 ± 14.0
339.4 ± 38.0
17.5 ± 2.2
7.10 ± 1.87
139.4 ± 34.0
7.4 ± 1.5
Control group
48
130.1 ± 16.3
344.1 ± 42.6
17.8 ± 2.6
9.23 ± 2.04
143.8 ± 39.6
7.8 ± 1.7
t value
-3.827
-0.574
-0.614
-5.362
-0.588
-1.229
P value
0.000
0.568
0.541
0.000
0.558
0.222
Table 2 Comparison of postoperative fracture healing between the two groups (mean ± SD)
Group
n
Fracture healing time (wk)
Full load time (wk)
Study group
49
13.5 ± 1.7
14.6 ± 1.2
Control group
48
14.0 ± 2.0
16.2 ± 1.8
t value
-1.328
-5.161
P value
0.187
0.000
Table 3 Comparison of the angles of tibial plateau varus angle and tibial plateau retroversion angle between the two groups of patients at different times after surgery (mean ± SD)
Group
n
TPA angle (°)
PA angle (°)
Immediately after surgery
18 mo after surgery
Immediately after surgery
18 mo after surgery
Study group
49
86.34 ± 3.81
86.04 ± 2.51
9.54 ± 2.20
9.83 ± 1.72
Control group
48
86.51 ± 3.44
85.78 ± 2.92
9.31 ± 2.14
9.91 ± 1.84
t value
-0.231
0.471
0.522
-0.221
P value
0.818
0.639
0.603
0.825
Table 4 Comparison of knee joint function between the two groups (mean ± SD)
Group
n
Subjective evaluation score (points)
Radiology evaluation (points)
12 mo after operation
18 mo after surgery
12 mo after operation
18 mo after surgery
Study group
49
18.84 ± 3.50
25.81 ± 2.50
10.41 ± 2.10
15.50 ± 1.32
Control group
48
16.57 ± 3.32
25.21 ± 2.64
10.13 ± 2.32
15.16 ± 1.27
t value
3.276
1.150
0.623
1.292
P value
0.001
0.253
0.534
0.199
Table 5 Comparison of surgical complication rates between the two groups, n (%)
Group
n
Incision infection
Delayed fracture union
Traumatic arthritis
Complication rate
Study group
49
1
0
1
2 (3.77)
Control group
48
4
1
3
8 (15.09)
χ2
4.153
P value
0.042
Citation: Li HF, Yu T, Zhu XF, Wang H, Zhang YQ. Locking compression plate + T-type steel plate for postoperative weight bearing and functional recovery in complex tibial plateau fractures. World J Clin Cases 2022; 10(2): 502-510