Treatment for Old Fracture of Tibial Plateau with Stiffness of Knee Joint

Objective:To study the treatment of old fractures of tibial plateau with stiffness of knee joint.Methods:From August 2002 to April 2008,relaxation of knee joint and reconstruction of old fracture of tibial plateau were performed in 30 patients with the old fracture of tibial plateau and stiffness of knee joint.After operation,knee joints received passively functional exercise of extension and flexion on the CPM.Results:All cases were followed up for 4 to 13 months,7.2 months averagely.Range of motion of knee joint was over 120° in 22 patients,90°~120° in 6 patients,60°~89° in 2 patients,and under 60° in 0 patient,113° averagely.General scoring assessment showed that an excellent result was achieved in 21 patients,good in 7 patients,fair in 2 patients,and poor in 0 patient,with an excellent and good rate of 93.3% according to the Hohl knee joint function assessment on the pain,active movement,motion range,stability,and self-assessment.Conclusion:Only based on strict indications,proper choice of surgery type as well as fine functional exercise,the treatment for old fractures of tibial plateau with stiffness of knee joint can achieve favorable therapeutic effect.