Therapeutic strategy of Schatzker type ⅤandⅥtibial plateau fracture combined with posterior column injury
SUN Zhi-bo
YANG Shu-hua
YU Zhi-hong
CAO Hong
SUN Chen
Abstract：Objective To investigate the therapeutic strategy and clinical effectiveness of Schatzker type Ⅴand Ⅵtibial plateau fracture with posterior column injury .Methods The therapeutic effects of 22 patients with Schatzker type Ⅴand Ⅵtibial plateau fracture with posterior column injury from Jun .2010 to May 2013 were sum-marized and analyzed .Conventional pre-operative three-dimensional CT scans were used to define fracture type and displacement .The anterolateral incision combined with posteromedial incision and double plate internal fixation was applied.Twelve patients were implanted with autograft bone and did not perform early weight -bearing functional ex-ercises after operation .Functional evaluation was conducted according to the scoring criteria of USA New York Hos -pital for Special Surgery ( HSS) .Results All 22 patients obtained satisfactory reduction ,of whom 19 patients had bony union after 10-22 months follow-up post-operatively (median follow-up period,16.6 months).The average HSS was 83.12 (range,58-92),indicating 8 excellent cases,8 good cases,2 fair cases and 1 poor case;the excel-lent and good rate was 84%(16 of 19).Conclusion The anterolateral incision combined with posteromedial inci-sion and double plate internal fixation for treating Schatzker type ⅤandⅥtibial plateau fracture with posterior col-umn injury can effectively restore the alignment and joint surface ,and can obtain good clinical effect with early non-weight bearing exercises .
Keywords：tibial fractureposterior column injuryplateinternal fixation
Publication Date：2016-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：3( 588-590 )