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| Clinical Efficacy of Fracture Reduction and Internal Fixation Combined with Primary Ligament Treatment in Patients with Tibial Plateau Fractures Complicated by Knee Ligament Injuries |
| CHEN Qingzhi, XIE Huanglin, CHEN Kuo, et al |
| Xiamen Third Hospital, Xiamen Fujian 361100 |
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Abstract 【Objective】To explore the clinical efficacy of fracture reduction and internal fixation combined with primary ligament treatment in patients with tibial plateau fractures complicated by knee ligament injuries. 【Methods】A retrospective analysis was conducted on 41 patients with tibial plateau fractures complicated by knee ligament injuries admitted to Xiamen Third Hospital from January 2019 to April 2024. All patients underwent fracture reduction and internal fixation combined with primary ligament treatment. The surgical conditions of the patients were recorded, and the Lysholm Knee Scoring System and Tegner Knee Scoring System were used to evaluate the knee joint function of the patients before and after surgery. 【Results】All 41 patients with tibial plateau fractures and ligament injuries were followed up, with a follow-up period of 20.70 (12-29) months. The Lysholm knee score of the patients at 1 year after surgery was (86.20±0.50) points, which was significantly higher than the preoperative score of (28.34±7.12) points, and the difference was statistically significant (P<0.05); the Tegner knee score at 1 year after surgery was (7.43±0.20) points, which was significantly higher than the preoperative score of (3.60±0.90) points, and the difference was statistically significant (P<0.05). A total of 90.8% of the patients returned to the same or lower level of activity. 【Conclusion】Fracture reduction and internal fixation combined with primary ligament treatment for patients with tibial plateau fractures complicated by knee ligament injuries can significantly improve knee joint function and achieve satisfactory efficacy.
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Received: 29 May 2025
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2025, Vol. 42 
