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Abstract：
UNASSIGNED: To investigate the effectiveness of Allgöwer-Donati suture in open reduction and internal fixation of Schatzker type Ⅴ and Ⅵ tibial plateau closed fractures.
UNASSIGNED: A clinical data of 60 patients with Schatzker type type Ⅴ and Ⅵ tibial plateau closed fractures, who met the selection criteria and admitted between May 2022 and May 2023, was retrospectively analyzed. After open reduction and internal fixation via double incisions, the incisions were closed with conventional mattress suture in 30 cases (control group) and Allgöwer-Donati suture in 30 cases (observation group). There was no significant difference in gender, age, fracture side and type, time from injury to operation, body mass index, and other baseline data between the two groups ( P>0.05). The incidence of incision-related complications after operation, visual analogue scale (VAS) score of incision at 3 days and 1 and 2 weeks after operation, and the short-form 36 health survey scale (SF-36) [physical functioning (PF), role physical (RP), bodily pain (BP), and general health (GH)] at 12 weeks after operation were compared between the two groups.
UNASSIGNED: All operations of the two groups successfully completed. All patients were followed up 6-14 months (mean, 12 months). Incision fluid leakage occurred in 1 case of observation group and 7 cases of control group within 1 week after operation, and the incisions healed after symptomatic treatment. The incisions of other patients healed by first intention. The incidence of early incision complications in observation group was significantly lower than that in control group ( P<0.05). No late incision complications was found in the two groups. There was no significant difference in VAS scores at each time point between the two groups ( P>0.05). The VAS score significantly decreased with the increase of time in the two groups, showing significant differences between the different time points ( P<0.05). There was no significant difference in SF-36 scores (PF, RP, BP, and GH) between the two groups at 12 weeks after operation ( P>0.05).
UNASSIGNED: Compared with conventional mattress suture, Allgöwer-Donati suture is effective in open reduction and internal fixation via double incisions for Schatzker type Ⅴand Ⅵ tibial plateau closed fractures, which can reduce the incidence of early incision complications.
UNASSIGNED: 探讨Schatzker Ⅴ、Ⅵ型胫骨平台闭合性骨折内固定术中采用Allgöwer-Donati 缝合技术缝合切口的临床效果。.
UNASSIGNED: 回顾性分析2022年 5月—2023 年 5月收治且符合选择标准的60例Schatzker Ⅴ、Ⅵ型胫骨平台闭合性骨折患者临床资料。双切口切开复位内固定术中，30例采用普通褥式缝合技术缝合切口（对照组），30例采用Allgöwer-Donati 缝合技术（观察组）。两组患者性别、年龄、骨折侧别及类型、受伤至手术时间及身体质量指数等基线资料比较，差异均无统计学意义（ P>0.05）。比较两组术后切口相关并发症发生情况；术后3 d及1、2周手术切口疼痛视觉模拟评分（VAS）；术后12周健康状况调查问卷（SF-36）生理健康部分评分，包括生理功能（physical functioning，PF）、生理职能（role physical，RP）、躯体疼痛（bodily pain，BP）、总体健康（general health，GH）4项。.
UNASSIGNED: 两组手术均顺利完成。患者均获随访，随访时间6～14个月，平均12个月。术后1周内观察组1例、对照组7例出现切口渗液，经对症处理后愈合；其余患者切口均Ⅰ期愈合；观察组术后早期切口并发症发生率低于对照组，差异有统计学意义（ P<0.05）。两组均未发生远期切口并发症。随时间延长，两组VAS评分均降低，各时间点间差异均有统计学意义（ P<0.05）；术后各时间点VAS评分组间差异均无统计学意义（ P>0.05）。术后12周两组SF-36评分中PF、RP、BP、GH 4项差异均无统计学意义（ P>0.05）。.
UNASSIGNED: 相较于普通褥式缝合，Schatzker Ⅴ、Ⅵ型胫骨平台闭合性骨折内固定术中采用Allgöwer-Donati缝合技术缝合切口，可降低术后早期切口并发症发生风险。.
UNASSIGNED: A clinical data of 60 patients with Schatzker type type Ⅴ and Ⅵ tibial plateau closed fractures, who met the selection criteria and admitted between May 2022 and May 2023, was retrospectively analyzed. After open reduction and internal fixation via double incisions, the incisions were closed with conventional mattress suture in 30 cases (control group) and Allgöwer-Donati suture in 30 cases (observation group). There was no significant difference in gender, age, fracture side and type, time from injury to operation, body mass index, and other baseline data between the two groups ( P>0.05). The incidence of incision-related complications after operation, visual analogue scale (VAS) score of incision at 3 days and 1 and 2 weeks after operation, and the short-form 36 health survey scale (SF-36) [physical functioning (PF), role physical (RP), bodily pain (BP), and general health (GH)] at 12 weeks after operation were compared between the two groups.
UNASSIGNED: All operations of the two groups successfully completed. All patients were followed up 6-14 months (mean, 12 months). Incision fluid leakage occurred in 1 case of observation group and 7 cases of control group within 1 week after operation, and the incisions healed after symptomatic treatment. The incisions of other patients healed by first intention. The incidence of early incision complications in observation group was significantly lower than that in control group ( P<0.05). No late incision complications was found in the two groups. There was no significant difference in VAS scores at each time point between the two groups ( P>0.05). The VAS score significantly decreased with the increase of time in the two groups, showing significant differences between the different time points ( P<0.05). There was no significant difference in SF-36 scores (PF, RP, BP, and GH) between the two groups at 12 weeks after operation ( P>0.05).
UNASSIGNED: Compared with conventional mattress suture, Allgöwer-Donati suture is effective in open reduction and internal fixation via double incisions for Schatzker type Ⅴand Ⅵ tibial plateau closed fractures, which can reduce the incidence of early incision complications.
UNASSIGNED: 探讨Schatzker Ⅴ、Ⅵ型胫骨平台闭合性骨折内固定术中采用Allgöwer-Donati 缝合技术缝合切口的临床效果。.
UNASSIGNED: 回顾性分析2022年 5月—2023 年 5月收治且符合选择标准的60例Schatzker Ⅴ、Ⅵ型胫骨平台闭合性骨折患者临床资料。双切口切开复位内固定术中，30例采用普通褥式缝合技术缝合切口（对照组），30例采用Allgöwer-Donati 缝合技术（观察组）。两组患者性别、年龄、骨折侧别及类型、受伤至手术时间及身体质量指数等基线资料比较，差异均无统计学意义（ P>0.05）。比较两组术后切口相关并发症发生情况；术后3 d及1、2周手术切口疼痛视觉模拟评分（VAS）；术后12周健康状况调查问卷（SF-36）生理健康部分评分，包括生理功能（physical functioning，PF）、生理职能（role physical，RP）、躯体疼痛（bodily pain，BP）、总体健康（general health，GH）4项。.
UNASSIGNED: 两组手术均顺利完成。患者均获随访，随访时间6～14个月，平均12个月。术后1周内观察组1例、对照组7例出现切口渗液，经对症处理后愈合；其余患者切口均Ⅰ期愈合；观察组术后早期切口并发症发生率低于对照组，差异有统计学意义（ P<0.05）。两组均未发生远期切口并发症。随时间延长，两组VAS评分均降低，各时间点间差异均有统计学意义（ P<0.05）；术后各时间点VAS评分组间差异均无统计学意义（ P>0.05）。术后12周两组SF-36评分中PF、RP、BP、GH 4项差异均无统计学意义（ P>0.05）。.
UNASSIGNED: 相较于普通褥式缝合，Schatzker Ⅴ、Ⅵ型胫骨平台闭合性骨折内固定术中采用Allgöwer-Donati缝合技术缝合切口，可降低术后早期切口并发症发生风险。.
摘要：
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