[Treatment of tibial plateau fracture with reconstructed bone xenograft plus buttress plate internal fixation].
OBJECTIVE
To investigate the clinical effect of reconstructed bone xenograft plus buttress plate (T or L type) fixation in treating tibial plateau fracture.


METHODS
From June 2001 to March 2003, 32 cases of tibial plateau fractures were treated by means of open reduction, reconstructed bone xenograft plus buttress plate (T or L type) fixation. There were 23 cases of bumper fracture, 5 cases of falling injury and 4 cases of crush injury by a weight; 20 males and 12 females, aged from 18 to 69 years with an average of 38 years. All patients had close fracture.


RESULTS
All the patients were followed up for 9 months to 23 months, tibial plateau fracture healed satisfactorily without sunken articular surface. According to Pasmussen criterion, the results were excellent in 16 knees, good in 12 knees and moderate in 3 knees. The satisfactory rate was 87.5%.


CONCLUSIONS
Reconstructed bone xenograft plus buttress plate internal fixation has good effect in treating tibial plateau fractures because it can avoid the complication of transplantation of ilium.
Department of Orthopaedics, the Ningbo No. 2 Hospital, Ningbo Zhejiang, PR China.
Zhibing
Z
Ge
Qianfa
Q
Zhang
Qingjiang
Q
Pang
D000293:Adolescent; D000328:Adult; D000368:Aged; D016025:Bone Transplantation; D005260:Female; D005500:Follow-Up Studies; D005593:Fracture Fixation, Internal / Q000295:instrumentation / Q000379:methods*; D005596:Fractures, Closed / Q000601:surgery*; D006801:Humans; D016268:Internal Fixators; D008297:Male; D008875:Middle Aged; D013978:Tibial Fractures / Q000601:surgery*; D014183:Transplantation, Heterologous; D016896:Treatment Outcome