FENG Jun 1 , HOU Jianwei 1 , WANG Yansong 1 , YANG Yunfeng 2
  • 1. Department of Orthopedics, Nantong Third People’s Hospital, Affiliated Nantong Hospital 3 of Nantong University, Nantong Jiangsu, 226006, P. R. China;
  • 2. Department of Orthopedics, Ruijin Hospital Affiliated to Shanghai Jiao Tong University, Shanghai, 200001, P. R. China;
YANG Yunfeng, Email: dr.yangyf@hotmail.com
Allgöwer-Donati suture; conventional mattress suture; tibial plateau fracture; closed fracture; complication
10.7507/1002-1892.202401059
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Objective  To investigate the effectiveness of Allgöwer-Donati suture in open reduction and internal fixation of Schatzker type Ⅴ and Ⅵ tibial plateau closed fractures. Methods  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. Results  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). Conclusion  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.

Citation： FENG Jun, HOU Jianwei, WANG Yansong, YANG Yunfeng. Application of Allgöwer-Donati suture in internal fixation of Schatzker type Ⅴand Ⅵ tibial plateau closed fractures. Chinese Journal of Reparative and Reconstructive Surgery, 2024, 38(6): 723-727. doi: 10.7507/1002-1892.202401059 Copy