A Comparative Therapeutic Effect of Common Anatomical Plate and Locking Plate for the Treatment of Complex Fractures of Tibial Plateau
|School||Central South University|
|Keywords||Tibial plateau fractures Steel plate Internal fixation Efficacy Floating knee|
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 .