Efficacy of limited internal fixation combined with external fixation in the treatment of complex tibial plateau fractures
XU Jian
LIU Tian-ze
ZHENG Shou-peng
Abstract：Objective To evaluate the efficacy of limited internal fixation combined with external fixation in the treatment of complex tibial plateau fractures.Methods A total of 92 patients with complex tibial plateau fracture (41 cases of Schatzker type IV,25 cases of type V,26 cases of type VI) from Jan.2010 to Jun.2013 in our hospital were included in the study.Sixty-one cases were males and 31 were females with an average of 54.2(31-77) years.These patients were randomly referred to the study group and contrast group with 46 cases in each group.The patients in the study group were treated with limited internal fixation combined with external fixation,while patients in the contrast group were treated with conventional plate fixation.The surgical approach,fracture healing rate,the incidence of post-trauma arthritis,and the joint function of the injured knee between the two groups were evaluated.Results The surgical time,blood loss,fracture healing time and micro-displacement of the study group were significantly less than those of the contrast group[(183.09±26.47)min vs.(213.47±34.23)min,(304.75±51.47)mL vs.(361.37±56.83)mL,(0.57±0.11)weeks vs.(0.74±0.15) weeks,(0.14±0.03)mm vs.(0.31±0.07)mm].The postoperative knee joint function and fracture healing rate were significantly better or higher than these of the contrast group [97.83%(45/46) vs.82.61%(38/46),93.48%(43/46) vs.78.26%(36/46)],while the incidence of post-trauma arthritis was lower than that of the contrast group [2.17%(1/46) vs.13.04%(6/46)].The difference was statistically significant(P<0.05).Conclusion Limited internal fixation combined with external fixation in the treatment of complex tibial plateau fractures is less traumatic,brings quicker recovery,has higher healing rate and lower incidence of post-trauma arthritis.Hence it is recommended for clinical application.
Keywords：tibial plateau fracturesinternal fixationexternal fixationfixatorhealing
Publication Date：2017-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：4( 443-446 )