Surgical Treatment for Complex Tibial Plateau Fractures Involving the Posterior Column

Objective:To discuss surgical treatment for the posterior column of the tibial plateau fracture.Method: 20 patients with column fracture of tibial plateau were selected in our hospital from February 2011 to December 2012, with the outside of the fracture in 8 cases, 5 cases of medial fracture splitting, splitting posterolateral fracture in 6 cases, combined proximal tibial fractures in 1 case, according to the inside to take the different parts of the posterior column involvement approach, posterolateral approach fracture fixation. The clinical effects and complications were observed.Result:The patients' blood loss was(178.32±2.01) mL, length of stay was(16.12 ± 1.23) days, healing time was(17.52±0.58) weeks, the time to full weight bearing was(17.60±1.22) weeks, the knee activity was(115.36±2.6) degrees. Recovery of knee function was excellent in 13 cases(65%), good in 4 cases(20%), excellent rate was 85%.Conclusion:The rear side of the knee(medial or lateral after) approach reset and buttress plate fixation with reset reasonable, fixed stability, fewer complications, recovery of knee function, etc., can be used as involving the posterior column of tibial plateau fractures treated preferred means.