Clinical Effect of Posterior Surgical Approach with Locking Plate Fixation in the Treatment of Tibial Plateau Fractures

Objective: To investigate the clinical effect of open reduction and locking plate fixation through posterolateral or/and posteromedial approach of knee in the treatment of posterior condylar tibial plateau fractures. Methods: 13 patients with posterior condylar tibial plateau fractures in our hospital from January 2009 to December 2011 were selected as research subjects, all patients were fixed with locking plate via posterolateral or/and posteromedial incision. Results: All patients were followed up for 6-24 months(Average: 13.6 months), and the fractures were all healed in 16 months. Rasmussen radiology score was 15 to18 points with an average of 17.4 points, including excellent in 8 cases, good in 3 cases, passable in 2 cases. The excellent and good rate was 84.7 %. Last follow-up knee HSS score was 73 to 97 points with an average of 91.4 points, including excellent in 7cases, good in 5 cases, passable in 1 case. The excellent and good rate was 92.3%. Conclusion: The Locking plate fixation with the posterolateral or/and posteromedial approach is beneficial for the treatment of posterior condylar tibial plateau fractures. It has many advantages, such as, less trauma, clearly exposure, stable internal fixation, early functional exercise, less complications and good therapeutic effects.