Operative treatment of posterior tibial plateau fractures with posterior tibial plateau anatomic locking plate

Objective To evaluate surgical outcomes of posterior tibial plateau anatomic locking plate for treatment of poste-rior tibial plateau fractures. Methods Forty six patients with posterior tibial plateau fractures treated by posterior tibial plateau anatomic locking plate from April 2012 through July 2013 were retrospectively analyzed. The operation time,intraop-erative blood loss,hospital stay and the fracture healing time were collected,and the tibial plateau angle,posterior slope angle and femorotibial angle in immediately postoperatively and at one year after operation were measured,and the knee functional were evaluated by the Hospital for Special Surgery knee score. Results In this cohort the mean operation time was(59.0 ±14.2)min,intraoperative blood loss was(96.0 ±16.7)ml and hospital stay was(13.6±4.5)days. All patients were followed up for an average of(16.8±4.2)months,and the fracture healing time was(13.6±2.8)weeks. According to the Hospital for Special Surgery Score,the averaged score was(89.7±5.6)points,with good and excellent rate of 93.5%. There was no statistic significant difference in the average tibial plateau angle,posterior slope angle and femorotibial angle between immediately after operation and those at one year after operation(P 0.05). Conclusion Internal fixation with posterior tibial plateau anatomic locking plate is a good method for treatment of posterior tibial plateau fractures with easier location,shorter operation time,less invasion and the excellent clinical results.