A Comparative Therapeutic Effect of Common Anatomical Plate and Locking Plate for the Treatment of Complex Fractures of Tibial Plateau

Objective retrospective study of the treatment of complex fractures of the tibial plateau ordinary anatomical plate and the locking plate . Methods A retrospective analysis of May 2005 to April 2009 Application ordinary anatomical steel plate (17 cases) , and locked steel plate (13 cases) the treatment of complex tibial tibial plateau fracture patients with 30 cases ( AO / OTA sub -type , B-type 12 Li , C 18 patients) , comparing the two treatments in limb part of the weight-bearing time soft tissue complications varus tibial plateau angle (TPA) and inclination angle (PA) changes , knee range of knee function (HSS value) the indicators of the differences . The results of 28 patients for an average of 20.7 months ( 1.0 to 50.0 months ) follow - up . 1, the ordinary anatomical plate group limb part of the load time average of 3.9 weeks ( 3.0 to 6.0 weeks ) ; June after knee of the New York Hospital for Special Surgery (HSS) score an average of 91.6 points (70.0 to 100.0 ) ; knee degrees to 111.1 degrees ( 15.0 to 160.0 degrees ) . Limb locking plate group part of the load time is an average of 3.2 weeks ( 1.0 to 6.0 weeks ) ; June after the New York Hospital for Special Surgery (HSS) of the knee score was 81.4 points ( 59.0 to 100.0 ) ; knee range average 109.8 (15.0 to 160.0 degrees) . These indicators compare differences between the two groups had no significant ( P > 0.05). 2 , postoperative varus angle of the tibial plateau after 2 months and 6 months postoperatively (TPA) and the posterior slope of the tibial plateau (PA) numerical comparison , the difference was not statistically significant ( P > 0.05 ) . Conclusion 1 . Complex tibial plateau fractures , preoperative must attach great importance to the knee soft tissue around the situation , a clear fracture classification , careful design of surgical approach . Articular surface of the tibial plateau anatomic reduction metaphyseal fractures by indirect reduction to restore limb alignment . 3.MIPO technology trauma , fracture healing fast , functional recovery . 4 ordinary anatomical plate and the locking plate can be well fixed complex tibial plateau fractures . 5 floating knee injury , should be early surgery and postoperative strengthen the system of rehabilitation .