Efficacy of Arthroscopy-Assisted Minimally Invasive Surgery in the Treatment of Patients with Tibial Plateau Fractures.

OBJECTIVE

This study analyzes the therapeutic effect of arthroscopy-assisted minimally invasive surgery in patients with tibial plateau fractures (TPFs) and its influence on knee function and range of motion (ROM) recovery.

METHODS

This study enrolled 84 patients with TPFs admitted to the researchers' hospital between March 2021 and May 2022 as the study subjects, including 42 patients treated with open reduction and internal fixation (observation group) and 42 patients treated with arthroscopy-assisted minimally invasive surgery (experimental group). Then, perioperative indexes, knee symptom scores, knee function scores, knee ROM, and postoperative complications were compared between these two groups.

RESULTS

Surgery time was significantly shorter, intraoperative bleeding was less, and the time of the first off-bed activity was signally earlier in the experimental group than in the observation group (P < .05). All postoperative Lysholm and Rasmussen scores in both groups increased compared with preoperative scores, and the degree of increase was higher in the experimental group than in the observation group (P < .05). The range of flexion, extension, and internal/external rotation angles of patients was more extensive in both groups after surgery than before surgery, and the improvement of the experimental group was greater than that of the observation group (P < .05). The experimental group had a considerably lower incidence of postoperative complications than the observation group (P < .05).

CONCLUSION

Arthroscopy-assisted minimally invasive surgery is highly effective in treating TPFs. Specifically, this surgery further improves knee symptoms, promotes the recovery of knee function, elevates knee ROM, and reduces the risk of postoperative complications compared to traditional open reduction and internal fixation.