[Spiral CT reconstruction for typing of tibial plateau fracture to guide surgical therapy].
OBJECTIVE
To typing of tibial plateau fracture based on spiral CT reconstruction and to explore effect of the typing method for treatment.


METHODS
A hundred and twenty-six cases with tibial plateau fracture (male 95, female 31, age from 23 to 58 years old), the fractures were classified based on reconstruction image of spiral CT. Including central compression type in 13 cases, split type in 8, split compression type in 79, comminution type in 26. According to the different typing the suitable incision of operation and fixed method for fracture were select.


RESULTS
A hundred and twenty-six cases were followed up for 0.5-4 years with an average of 1.2 years. According to Hohl system score to knee joint function, there were statistical significance in the pain,active movement,active range of motion between before and after operation (P < 0.01) and there were no statistical significance in stability and self-evaluation (P < 0.01).


CONCLUSIONS
Typing of tibial plateau fracture based on spiral CT reconstruction helpful to choose operative approach, reduction and fixed method and obviously improve clinical effect.
Mei
Jin-rong
JR
Department of Orthopaedics, the Central Hospital of Huzhou, Huzhou 313000, Zhejiang, China.
Li
Xiong-feng
XF
Zhu
Yue-ming
YM
Luo
Bin
B
D000328:Adult; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007091:Image Processing, Computer-Assisted / Q000379:methods*; D021621:Imaging, Three-Dimensional; D008297:Male; D008875:Middle Aged; D013978:Tibial Fractures / Q000000981:diagnostic imaging* / Q000601:surgery* / Q000628:therapy; D036542:Tomography, Spiral Computed; D016896:Treatment Outcome