Treatment analysis of osteotomy of fibular head to posterolateral tibial plateau fractures:a report of 38 cases

Objective:To study the treatment of posterolateral tibial plateau fractures.Methods:All patients were treated with open reduction and internal fixation through posterior lateral approach.All the patients were followed up at 1 month,3 months,6 months,12 months,24 months postoperatively. Tibial plateau angle(TPA)and posterior slope angle(PA)of tibial plateau were measured to evaluate the stability of proximal tibia and knee alignment.Results:All patients were followed up for 16—24 months with average of 18.4 months.According to Hohl score of the knee joint function,Of these,89.5% had an excellent/good result,7.9% did fair,and 2.6% had a poor outcome.No deep infection or other soft tissue complications were found in this group.Conclusions: The posterior lateral approach can fully expose the posterior joint space and can provide satisfactory operative space for open reduction,grafting and internal fixation[1].