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- W2387741862 abstract "[Objective]To compare outcomes of closed tibial plateau fracture treated with internal fixation versus circular external fixation.[Method] Fifty-eight patients with closed tibial plateau fracture,who were treated sugically from February 2007 to February 2012,were analyzed retrospectively.According to Schatzker's classification:20 cases were type Ⅳ,20 cases were typeⅤ,18 cases were type Ⅵ.The patients were divided into group A,including 28 patients treated with open reduction and internal fixation,and group B,including 30 patients treated with circular external fixation.The parameters for evaluation included time of surgical procedure,time of postoperative hospitalization,starting time of weight bearing on the affected extremity,clinical therapeutic effect,complications.The therapeutic effect were assessed based on the Rasmussen's Radiological Score and the Knee Society Score.All Fifty-eight patients were followed up ranging 6 to 14 months with an average of 12.1 months.[Result]The group A treated with internal fixation:the time of surgical procedure was( 113.4 ± 13.2) min,the time of postoperative hospitalization was( 15.3 ± 2.1) d,the starting time of weight bearing was( 14.4 ± 2.5) w,the postoperative RRS score was( 14.9 ±2.7),the postoperative KSS score was( 76.4 ±5.2),the postoperative functional score was( 84.6 ±6.9).The group B treated with circular external fixation:the time of surgical procedure was( 105.7 ± 9.8) min,the time of postoperative hospitalization was( 7.7 ± 1.8) d,the starting time of weight bearing was( 10.0 ± 1.5) w,the postoperative RRS score was( 15.6 ± 2.4),the postoperative KSS score was( 78.6 ± 5.9),the postoperative functional score was( 86.5 ± 6.5).There were significant differences in the time of surgical procedure,the time of postoperative hospitalization,the starting time of weight bearing( P 0.05).There wasn't interaction between the fracture classification and the surgical methods( P 0.05).There were no significant differences in the postoperative RRS score,KSS score and complications( P 0.05).[Conclusion] Both methods in treatment of closed tibial plateau fracture have good satisfactory therapeutic effect.The group B treated with circular external fixation is superior to the group A treated with internal fixation in the time of surgical procedure,the time of postoperative hospitalization,the starting time of weight bearing on the affected extremity." @default.
- W2387741862 created "2016-06-24" @default.
- W2387741862 creator A5059483257 @default.
- W2387741862 date "2013-01-01" @default.
- W2387741862 modified "2023-09-23" @default.
- W2387741862 title "Comparison of internal versus circular external fixation for treatment of closed tibial plateau fracture" @default.
- W2387741862 hasPublicationYear "2013" @default.
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