Keywords
Tibial plateau fracture
Knee function
Efficacy
Submitted : 2025-06-11
Accepted : 2025-06-26
Published : 2025-07-11
Abstract
Objective: To explore the efficacy of arthroscopy-assisted treatment for patients with tibial plateau fractures. Methods: A total of 80 patients with tibial plateau fractures in our hospital from January 2024 to January 2025 were selected as the research subjects. The patients were divided into an observation group and a control group based on their admission numbers, with 40 patients in each group. Relevant treatment indicators were compared between the two groups. Results: The total effective rate of the observation group was higher than that of the control group, and the incidence of complications was lower than that of the control group (P < 0.05). The surgical indicators (incision length, time to ambulate, fracture healing time, hospital stay) of the observation group were all better than those of the control group (P < 0.05). After treatment, the HSS score and modified Lysholm score of the observation group were higher than those of the control group (P < 0.05). The maximum angles of knee extension and flexion in the observation group were greater than those in the control group after treatment (P < 0.05). The GQOL-74 scores (material living status, physical, psychological, and social) of the observation group were significantly higher than those of the control group (P < 0.05). Conclusion: Arthroscopy-assisted minimally invasive surgery is effective in the treatment of tibial plateau fractures. It can not only optimize surgical indicators but also improve knee function and range of motion, which is beneficial for improving patients’ postoperative quality of life. The promotion of this treatment is feasible.
References
Zhu T, Sun Q, Shao Q, et al., 2024, Risk Factor Analysis of Knee Joint Stiffness After Arthroscopic Minimally Invasive Percutaneous Plate Internal Fixation for Tibial Plateau Fractures. Journal of Clinical Surgery, 32(4): 350–353.
Teng J, Chen W, Li B, 2024, Efficacy of Arthroscopic Percutaneous Minimally Invasive Plate Internal Fixation in the Treatment of Tibial Plateau Fractures and Its Impact on Knee Joint Function. Journal of North Sichuan Medical College, 39(7): 913–915.
Wang J, 2023, Arthroscopy-Assisted Minimally Invasive Percutaneous Plate Fixation for the Treatment of 51 Cases of Schatzker Type I-III Tibial Plateau Fractures with Ligament Injuries. Anhui Medical Journal, 27(2): 5.
Zhao B, Luo W, Ye S, et al., 2025, Efficacy Analysis of Digital Orthopedic Technology-Assisted High Tibial Osteotomy in the Treatment of Tibial Fracture Malunion with Secondary Varus Knee Osteoarthritis. Chinese Journal of Traumatology, 27(02): 117–124.
Huang X, Jiang Y, Yang C, et al., 2023, Development and Clinical Application of a New Reduction Device for the Treatment of Tibial Plateau Fractures under Arthroscopic Monitoring. Chinese Journal of Orthopaedics and Traumatology, 36(6): 570–573.
Li Z, Li Q, 2025, Effects of Arthroscopy-Assisted Locking Cannulated Screw Fixation on Knee Joint Function and Pain Factors in Patients with Tibial Plateau Fractures. China Journal of Endoscopy, 2025(2): 25–30.
Du J, Ding S, Zhang T, et al., 2023, Impact of Knee Arthroscopy-Guided Minimally Invasive Reduction and Internal Fixation on Postoperative Fracture Healing Time and Joint Function Recovery in Patients with Tibial Plateau Fractures. Zhejiang Journal of Integrated Traditional Chinese and Western Medicine, 33(3): 243–246.
Meng H, 2024, Short-Term Efficacy Analysis of Arthroscopic Percutaneous Minimally Invasive Plate Internal Fixation and Open Reduction and Internal Fixation for Tibial Plateau Fractures. Henan Journal of Surgery, 30(1): 159–161.
Wang Y, Gong J, Dai S, 2025, Comparative Analysis of the Efficacy of Arthroscopy-Assisted Anterior Cruciate Ligament Locator in the Treatment of Tibial Plateau Fractures Versus Traditional Open Internal Fixation. Advances in Clinical Medicine, 15(3): 10.
Zhao R, 2025, Comparison of the Effects of Knee Arthroscopy-Guided Small Incision and Traditional Open Internal Fixation in the Treatment of Tibial Plateau Fractures and Their Impact on Knee Joint Function. Chinese and Foreign Medical Research, 23(1): 123–126.
Wu FC, Chen SZ, Cai LP, et al., 2025, Clinical Study of Arthroscopy-Assisted MIPPO Technique Combined with Locking Plate in the Treatment of Schatzker Type III Tibial Plateau Fractures. Medical Innovation of China, 22(1): 113–117.
Xiao F, He W, Wang J, et al., 2024, Efficacy Analysis of Minimally Invasive Treatment Assisted by Orthopedic Surgical Robot for Indirectly Reducible Schatzker Type II and III Tibial Plateau Fractures. Chinese Journal of Traumatology, 2024(7): 604–610.
Sang N, 2024, Application of Enhanced Recovery After Surgery in Arthroscopic Percutaneous Minimally Invasive Plate Internal Fixation for Tibial Plateau Fractures. Henan Journal of Surgery, 30(3): 138–141.
Li S, 2023, Impact of Arthroscopy-Assisted Minimally Invasive Surgery on Knee Joint Function and Range of Motion in Patients with Tibial Plateau Fractures. Contemporary Medical Forum, 21(5): 70–73.
He C, Zhang C, 2024, Impact of Arthroscopy-Assisted Minimally Invasive Surgery on Knee Joint Function and Range of Motion in Patients with Tibial Plateau Fractures, The 5th National Medical Research Forum, Haimen District People’s Hospital, Nantong City, Jiangsu Province.