Complex tibial plateau fractures involving posteromedial column:implantation of“bamboo raft”plate and posteromedial support plate
Han Zhi-wei
Zhao Jie
Xin Jie
Abstract：BACKGROUND:Medial tibial fracture after involvement of the tibial plateau is complex fractures caused by high-energy injuries. If we cannot choose the appropriate time, reasonable fixation approach and fixation way, local skin necrosis delayed fracture healing or non-healing, internal fixation failure and knee joint dysfunction wil occur.
<br> OBJECTIVE:To investigate the method and effect of complex tibial plateau fractures of medial column after involving the tibia platform.
<br> METHODS:On the basis of CT three-dimensional reconstruction and three-column type theory tibial plateau, data of 37 patients with complex fractures of tibial plateau involved in the medial column were retrospectively analyzed. Al cases received fixation treatment. Anterior lateral incision and medial incision fixation approaches were used. The lateral side used“bamboo raft”type anatomic locking plate fixation, formulated by Association for the Study of Internal Fixation. Posteromedial column used this locking fixation plate according to fracture situation. Moreover, artificial bone graft was performed. The recovery of knee joint function was assessed using Merchant scoring criteria.
<br> RESULTS AND CONCLUSION:Al patients were fol owed up for 12.8 months averagely. Fractures achieved clinical healing standard. No complications appeared. Recovery conditions of knee joint function are as fol ows:excel ent in 25 cases, good in 9 cases, average in 2 cases, and poor in 1 case, with excel ent and good rate of 92%. Results confirmed that after anterior lateral incision combined with posteromedial incision+tibia lateral“bamboo raft”steel plate and posteromedial support steel plate fixation in the treatment of tibial plateau fractures involving in posteromedial column of tibial plateau using artificial bone graft obtained good therapeutic effects.
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Publication Date：2015-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：7( 1416-1422 )