Effect comparison of internal fixation with single or double side plate for the treatment of complex tibial plateau fracture

Objective To analyze the clinical effect of internal fixation with single or double side plate for the treatment of complex tibial plateau fracture effect comparisoneffect comparisoneffect comparison. Methods 42 patients with complex tibial plateau fracture were selected in our hospital from January 2009 to December 2012 and they were randomly divided into the observation group(n=21) and the control group(n=21).Patients in the observation group were treated with lateral anatomic locking compression plate(LCP),while patients in the control group were treated with the internal fixation of inside and outside side of double plate. The operative time,healing time of fracture,activity range of knee joint,knee joint function of the two groups were compared. Results Fracture of patients healed well in 32 weeks after operation without bone nonunion,3 patients in the control group appeared skin necrosis of medial tibial,bone exposure,and the wound healed up after the treatment of negative pressure drainage,patients in the observation group had no above-mentioned complications,and there was a statistical difference between the two groups( P0.05);There was no statistical difference of the operative time,healing time of fracture,activity range of knee joint,excellent and good rate of knee joint function in the two groups(P0.05). Conclusion Using internal fixation of single or double side plate to treat complex tibial plateau fracture can achieve good clinical effect and unilateral internal fixation can significantly reduce incidence rate of skin necrosis and bone exposure after operation.