The effects of medial fixation by the contralateral golf plate in treating the medial condyle fracture of the tibial plateau involving the middle and upper segments
LIU Xiao-min
PAN Xiao-hui
QU Xin-cong
FANG Zu-yi
LIU Xiang
ZHOU Yan
Abstract：Objective To explore the clinical effects of medial fixation by the contralateral golf plate in treating the medial condyle fracture of the tibial plateau involving the middle and upper segments .Methods Be-tween Feb.2007 and Mar.2011,18 cases of the medial condyle fracture of the tibial plateau involving the middle and upper segments in Luotian People's Hospital were retrospectively analyzed.There were 12 males and 6 females, with an average age of 45.5 years(from 32 to 54 years).Thirteen cases were injured from road traffic accidents ,5 were from high falling.There were 13 cases on the left and 5 cases on the right.One case was complicated with total peroneal nerve injury,4 cases with open fracture,including 2 cases of Gustilo Ⅰ,2 cases of type Ⅱ,and no popliteal fossa vessel injury occured.Patients were operated 8-14d after injury.The fixation of the contralateral golf plate was used and the clinical effects were observed during follow-up.Results Eighteen cases were followed up for 14-30 months (mean,20 months).All fractures healed after 12-24 weeks (mean,18 weeks).Early postoperative superfi-cial wound infection occurred in 1 case,and was cured by dressing.One case showed epidermal necrosis.At the end of the follow-up period,the function of Hohl knee joint functional score was evaluated ,10 cases were excellent ,good in 5 cases,fair in 3 cases,and the excellent and good rate was 83.3%.Conclusion The clinical curative effect of medial fixation by the contralateral golf plate in treating the medial condyle fracture of the tibial plateau involving the middle and upper segments is good ,which is an alternative fixation method.
Keywords：tibia fracturesoft tissue injurygolf plateinternal fixation
Publication Date：2018-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：4( 470-472,474 )