title: [A retrospective study of Schatzker III tibial plateau--fracture using minimally invasive fixation and bone grafting through medial side].
abstract: OBJECTIVE
  To investigate clinical effects of minimally invasive fixation and bone grafting througn medial side for the treatment of Schatzker III tibial plateau fracture.
  
  
  METHODS
  From April 2009 to August 2011, 18 patients with Schatzker III tibial plateau fracture were treated with minimally invasive fixation and bone grafting through medial side. There were 15 males and 3 females ranging in age from 64 to 73 years, with an average of (69.75 ± 1.22) years. Sixteen patients were caused by falling down, 2 cases were caused by traffic accident. Operative time and length of incision were be recorded. Clinical and radiological follow-up was performed after operation. Hospital for Special Surgery (HSS) score and Kellgren-Lawrence score were used to evaluate clinical effects.
  
  
  RESULTS
  The mean operative time was (45.32 ± 1.58) min, and the mean length of incision was (5.21 ± 0.65) cm. Postoperative X-ray showed excellent reduction. Eighteen patients were followed up for 10 to 13 months with an average of (11.5 ± 1.35) months. The mean HSS score was 86.51 ± 2.71, 12 cases got excellent results,4 good and 2 fair. Three patients were developed mild osteoarthritis according to the Kellgren-Lawrence system.
  
  
  CONCLUSIONS
  Minimally invasive fixation and bone grafting through medial side, not only could reduce surgical invasive, but also guarantee early function activities. It has advantages of keeping well after reduction. So it has the favorable future in clinic.
authors.forename: Zhi-dan
authors.initials: ZD
authors.lastname: Ling
authors.forename: Jian-feng
authors.initials: JF
authors.lastname: Wang
authors.forename: Hai-bo
authors.initials: HB
authors.lastname: Song
authors.forename: Hao-jie
authors.initials: HJ
authors.lastname: Gu
mesh_terms: D000368:Aged; D016025:Bone Transplantation; D005260:Female; D005593:Fracture Fixation, Internal / Q000379:methods*; D006801:Humans; D008297:Male; D008875:Middle Aged; D019060:Minimally Invasive Surgical Procedures / Q000379:methods*; D012189:Retrospective Studies; D013978:Tibial Fractures / Q000601:surgery*