Internal Fixation for the Treatment of Tibial Plateau Fracture

Objective To investigate the clinical efficacy of open reduction and internal fixation for the treatment of tibial plateau fractures.Methods Eleven cases of tibial plateau fracture(Schatzker classification: Ⅲ type 1 case,V type 3 cases,Ⅵ type 7 cases) were received the open reduction and internal fixation and allograft implantation for defective fractures.Results All the cases was followed up for 6 months to 5 years(mean 1.7 years).Based on Hohl scale,3 cases were excellent,5 cases were good,2 cases were fair,1 case was poor and the acceptable rate was 72.73%.Traumatic arthritis was observed in 2 cases and ankylosis was observed in 1 case.Conclusion Internal fixation is an effective method to treat tibial plateau.Complications after operation are closely associated with the fracture complexity.A good protection of the biological environment,anatomical reduction and early postoperative functional exercise can improve surgical effects.