The effect of the operation on fractures of the tibial plateau

Objectie To explore the clinical effect of operation on fractures of the tibial plateau. Methods Fifty-eight cases fractures of tibial plateau were treated surgically from January 2008 to December 2011. According to Schatzker classification, the fractions were diagnosed as type Ⅰ in 16 cases, type Ⅱ in 9 cases, type Ⅲ in 8 cases, type Ⅳ in 5 cases, type Ⅴ in 11 cases , type Ⅵ in 9 cases, all of them were treated by open reduction, internal fixation with cancellous bone screw or hollow tension screwthe, locking plate or anatomical tibial condylar plate for tibial plateau fracture. Autologous transplantation ilium in treating bone defect. Results The follow-up was 10 to 48 months. The excellent was 89.7% in all cases, according to the Kss′s criteria. Conclusion Preoperative according to the fracture of tibial plateau type make detailed operation plan, intraoperative strive to anatomy reset, quantitative and bone graft, stable in fixed, early postoperative rehabilitation of knee joint is a key to the success of the operation.