Volume 29, Issue 3
DOI: 10.24205/03276716.2020.732
Analysis of Open Reduction Internal Fixation and Bone Graft for Different Types of Tibial Plateau Fractures
Abstract
Objective: To explore clinical effects of internal fixation and open reduction in treatments of tibial plateau fractures.
Methods: From January 2010 to January 2018, seventy-six patients, who were diagnosed with the tibial plateau fractures, were treated in our hospital. According to Schatzker classification, the numbers of cases for typeâ… , type â…¡, type â…¢, type â…£, type â…¤and type â…¥ were 16, 18, 22, 10, 6 and 4, respectively. Bone graft was conducted simultaneously in patients with bone defects who were treated with internal fixation and open reduction.
Results: Seventy-six cases were followed up from 12 to 36 months, with a mean time of 20.4 months. All patients had bony union. According to the HSS knee score, the excellent and good rate was 73.69%
Conclusion: Operation is one of the effective methods to treat the tibial plateau fractures and vary according to different fractures. And the occurrence of postoperative complications is strongly associated with the fracture severity. Anatomical reduction, bone graft, stable fixation and early functional exercise are the keys to reduce complications.
Keywords
Fracture; Tibia plateau; Internal fixation; Bone graft