Investigation of the tibial plateau fracture treatment

Objective: To Summary the tibial plateau fracture experience.Methods: Retrospective analysis from april 2003 to March 2009 50 cases were treated tibial plateau fracture cases.Results: 50 cases of fracture,according to Schatzker classification: Ⅰ type was 9 cases,Ⅱ type was 18 cases,Ⅲ type was 7 cases,Ⅳtype was 8 cases,Ⅴtype was 5 cases,Ⅵ type 3 cases were closed fractures.Up from 6 to 12 months(mean 10 months).Suffering from functional evaluation Results: The fracture of the line of good knee function completely or returned to normal as excellent was 30 cases(60%),fractures of the position of the line better,and internal fixation using the correct knee mild activity limitation,with mild pain or discomfort,but does not affect the normal life are as good was 16 cases(32%),fractures of the position of the line was acceptable uneven joint surface,fixation using the right but not reliable operation limited after knee and pain in general was 4 cases(8%).Conclusion: Tibial plateau fracture on a good bit of the line can be treated conservatively collapse of the articular surface displacement 5 mm of the tibia plateau should adopt the open reduction and internal fixation with bone graft when required.