[Operative treatment for complex tibial plateau fractures].
OBJECTIVE
To explore the surgical methods and clinical evaluation of complex tibial plateau fractures resulted from high-energy injuries.


METHODS
From March 2006 to May 2009,48 cases with complex tibial plateau fractures were treated with open reduction and plate fixation, including 37 males and 11 females, with an average age of 37 years (ranged from 18 to 63 years). According to Schatzker classification, 16 cases were type IV, 20 cases type V and 12 cases type VI. All patients were examined by X-ray flim and CT scan. The function of knee joint were evaluated according to postoperative follow-up X-ray and Knee Merchant Rating.


RESULTS
Forty-eight patients were followed up with a mean time of 14 months. According to Knee Merchant Rating, 24 cases got excellent results, 16 cases good, 6 cases fair and 2 cases poor.


CONCLUSIONS
Appropriate operation time, anatomical reduction, suitable bone graft and reasonable rehabilitation exercises can maximally recovery the function of knee joint.
Department of Orthopaedics, General Hospital of Chongqing, Chongqing 400081, China.
Qi-Zhi
QZ
Song
Tao
T
Li
D000293:Adolescent; D000328:Adult; D001858:Bone Nails; D001860:Bone Plates; D001863:Bone Screws; D005260:Female; D005500:Follow-Up Studies; D005593:Fracture Fixation, Internal / Q000295:instrumentation / Q000379:methods*; D006801:Humans; D016268:Internal Fixators; D007719:Knee Joint / Q000601:surgery; D008297:Male; D008875:Middle Aged; D013978:Tibial Fractures / Q000601:surgery*; D016896:Treatment Outcome; D055815:Young Adult