title: [Application of rafting K-wire technique for tibial plateau fractures].
abstract: OBJECTIVE
  To summarize application of rafting K-wires technique for tibial plateau fractures.
  
  
  METHODS
  From January 2013 to January 2015,45 patients with tibial plateau fractures were treated by locking plate with rafting K-wires, including 33 males and 12 females with an average of 44.2 years old ranging from 22 to 56 years old. According to Schatzker classification, 6 cases were type II, 8 were type Ill, 4 were type IV, 4 were type V, and 5 were type VI. Allogeneic bone graft were performed for bone defects. All patients were fixed with two to five K-wires. Part of weight loading were encouraged at 3 months after operation,and full weight-loading were done at 5 months after operation. Postoperative complications were observed,and Rasmussen clinical and radiological assessment were used to evaluate clinical results.
  
  
  RESULTS
  All Patients were followed up from 10 to 23 months with average of 14 months. According to Rasmussen clinical and radiological assessment, clinical scores 23.58 ± 6.33, radiological scores were 14.00 ± 6.33; and excellent and good rates were 82.2% and 77.8% respectively. Four patients occurred severe osteoporosis and collapse of articular surface; 5 patients occurred traumatic arthritis.
  
  
  CONCLUSIONS
  Rafting K-wires technique with anatomized armor plate could effective fix and support platform collapse and joint bone fragments, increase support surface area and reduce postoperative reduction loss rate.
authors.forename: Xing-zhou
authors.initials: XZ
authors.lastname: Zhang
authors.forename: Wei-zhong
authors.initials: WZ
authors.lastname: Yu
authors.forename: Yun-feng
authors.initials: YF
authors.lastname: Li
authors.forename: Yan-hui
authors.initials: YH
authors.lastname: Liu
mesh_terms: D000328:Adult; D001864:Bone Wires; D005260:Female; D005593:Fracture Fixation, Internal / Q000295:instrumentation / Q000379:methods*; D006801:Humans; D008297:Male; D008875:Middle Aged; D013978:Tibial Fractures / Q000601:surgery*