Analysis of the Treatment Effect on Fracture of Posterior Condylar of Tibial Plateau through Posteromedial or Posterolateral Approach in 15 Cases

Objective To discuss the treatment effect on fracture of posterior condylar of tibial plateau through the posteromedial or posterolateral approach.Methods 15 patients with the fracture of posterior condylar of tibial plateau were analysed retrospectively and chosen as the subjects.They received the surgery of internal fixation through posteromedial or posterolateral approach,then we observed the effect on the patients'HSS score in knee joints in follow up.Results All the patients were followed up for 24～40 months with average of 33.5 months.The Hss score of the knee joint function showed:13 cases with excellent degree,2 cases with good degree.The X-ray images showed:the effect of reduction in all cases were fine,without collapse in joint surface.Conclusion Compared with the anterior approach,the posterior approach can expose the posterior condyle of tibial plateau clearer,reduce the incidence of soft tissue injury,and provide a wider operating space which is easier to manipulate the fracture reduction,internal fixation and the early rehabilitation of Knee function.