Effect analysis of locking steel in treating the fracture of tibial plateau

Objective To evaluate the effect of locking steel in treating the fracture of tibial plateau.Method 38 cases of patients who used the proximal tibial anatomic locking steel to treat tibial plateau the fracture Schatzke Ⅲ,Ⅳ,Ⅴ,Ⅵ from June 2008 to December 2011 had early postoperative non-weight-bearing functional exercises and follow-up.All patients assessed the efficacy in accordance with the Merchant knee function score[1]and X-ray.Results 38 patients had 9 ~ 18 months follow-up( average 13.9 months) with no deaths, all patients had bone healing,the average healing time was 13 weeks,no infection,implant loosening or bone plate fracture complications.Two patients had knee joint pain due to meniscus injury,five cases were weakly positive in the anterior drawer test due to the anterior cruciate ligament after reconstruction.Merchant score was an average of 91.5 points,which was excellent in 25 cases,good in 8 cases,4 cases, poor in 1 case,good rate was 86.84%.Conclusion Proximal tibial anatomic locking steel to treat tibial plateau fractures,it is a simple operation,reliable fixation,fewer complications,and easy to heal fractures,clinical results are satisfactory.