The clinical curative effect of the internal fixation under the guidance of three-column theory in treating tibial plateau fracture
ZHANG Zhi-wen
HUANG Yu-liang
WU Hong-bo
WANG Xiao-feng
Abstract：Objective To investigate the clinical effect of comminuted tibial three-column locking plate fix-ation under the guidance of three column theory in the treatment of plateau fracture.Methods Forty cases in our hospital from Jan.2009 to Dec.2012 with comminuted fracture of tibial plateau were collected,including 25 male ca-ses and 15 female cases aging 29-64(36.6 ±3.1) years.All patients adopted locking plate with allogenous bone grafting in floating position.After postoperative follow-up of 2 years,fracture reduction and healing were observed by X-ray,and the hospital for special surgery( HSS) score and Rasmussen score were compared.At the same time the complications were also observed.Results The fixation was good in all patients, with postoperative knee varus an-gle and dip angle well corrected.The postoperative Rasmussen score was satisfied,with significant difference com-pared with that before operation( P<0.05) .Knee joint function was restored.According to HSS score,the excellent and good rate of knee joint function was 90%in postoperative 2 years.There were no obvious complications except 2 patients with traumatic arthritis.Conclusion Three-column fixation theory is conducively benificial in clinical treatment of comminuted tibial plateau fracture,mainly in the medium-term follow-up.Three-column fixation can lead to better fracture reduction and stable fixation with high security,and is worth clinical promotion.
Keywords：tibial plateau fracturelocking platethree-column fixationbone graft
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：4( 663-665,677 )