| Objective To investigate the key techniques and efficacy evaluation of arthroscopically assisted, dual-channel, minimally invasive surgery for Schatzker-Ⅲ fractures of the tibial plateau.Methods Twenty-nine patients with Schatzker-Ⅲ fracture of the tibial plateau in 971 Hospital of the People's Liberation Army Navy between January 2021 and December 2023 were selected for comparison. They were divided into arthroscopic-assisted dual-channel minimally invasive surgery group (13 cases) and traditional open reduction and internal fixation surgery group (16 cases). Key surgical performance indicators were evaluated, including operation time, intraoperative blood loss, callus formation time, fracture healing time, time to get out of bed, time to start partial weight bearing, fracture reduction quality, knee motion, complications, and knee function one, three months, and one year after surgery.Results All patients were followed up for an average of (10.55±1.23) months (range 9-12 months). Operation time, intraoperative blood loss, callus formation time, fracture healing time, time to get out of bed and time to start partial weight bearing were all shorter in the arthroscopic-assisted dual-channel minimally invasive surgery group than that in the traditional open reduction and internal fixation surgery group. The excellent and good rate of fracture reduction in the arthroscopic-assisted dual-channel minimally invasive surgery group was higher than that in the traditional open reduction and internal fixation surgery group. The incidence of complications in the arthroscopic-assisted dual-channel minimally invasive surgery group was lower than that in the traditional open reduction and internal fixation surgery group. The HSS scores of the arthroscopic-assisted dual-channel minimally invasive surgery group at 1 month, 3 months and 1 year after the operation were all higher than those of the traditional open reduction and internal fixation surgery group. The comparison of the above indicators showed that the differences were all statistically significant (P<0.05).Conclusion Arthroscopy-assisted dual-channel minimally invasive surgery for Schatzker-Ⅲ fracture of the tibial plateau has the advantages of less trauma, faster recovery, fewer complications, and good recovery of knee function, which is worthy of clinical promotion. |
