Double plate fixation combined with bone graft in the treatment of 21 cases of V, VI type of fracture of tibial plateau

Objective To discuss the considerations of double plate fixation combined with bone graft in the treatment of V, VI type of fracture of tibial plateau and the methods to improve the curative effect. Methods 21 cases of fracture of tibial plateau from January 2009 to September 2012 were V, VI type according to the Schatzker classification, and adopt double plate fixation method for the surgical treatment and bone graft fully, and postoperative timely functional exercise of knee joint. Results 21 patients had successful operation, and were followed up for 8-24 months after operation, all operation incisions healed at the first period, all fractures had clinical healing, no necrosis happened during the process of bone graft. The evaluation of curative effect showed that there were excellent in 12 cases, good in 6 cases, fair in 2 cases, poor in 1 case. Conclusion Double plate fixation combined with bone graft in the treatment of V, VI type of fracture of tibial plateau has good effect in fracture stability, satisfactory joint surface resetion, high fracture healing rate, fewer complications, and good knee functional recovery, and is an effective method.