Operative Treatment of Complex Posterior Flbial Plateau Fractures Via Knee Posterolateral Inverted “L” Shaped Approach

Objective To evaluate the clinical results of operative treatments for the complex posterior tibial plateau fractures via Knee posterolateral invertedLshaped approach. Methods Thirty-six cases with complex posterior tibial plateau fracture from August 2009 through August 2013 were reviewed retrospectively. There were 22 males and 14 females,with age from 28 years to 61 years( average,47. 6 years). Results All Cases were followed up. The average follow-up time was 1. 8years( range,6 ~ 36 months). At the final follow-up visit,bone union was obtained in all cases. The mean Rasmussen score was17. 4( range,16 ~ 18),and the mean HSS was 89. 4( range,77 ~ 98). The postoperative knee range of motion were 0° ~ 135°3 years after operation. There was no vascular and nerve iniuries. Loosing or breaking of hardware's was not found. Conclusion The Knee posterolateral invertedLshaped approach is preferred for the complex posterior plateau fractures,with the advantages of safe and simple.