“T”-shaped locking plate for posterolateral tibial plateau fractures by Carlson posterolateral approach: 12-month follow-up

doi:10.3969/j.issn.2095-4344.2016.17.011

Abstract

Abstract:

BACKGROUND: Single fracture or collapse of the posterolateral tibial plateau fractures is relatively rare in the clinical work. Rational choice of surgical approach and internal fixation for posterolateral plateau fracture is significant to restore the lower limb force line, maintain the joint stability and obtain good biocompatibility.

OBJECTIVE: To compare the stability and biocompatibility of Carlson posterolateral and posterior midline approaches for the treatment of posterolateral tibial plateau fractures with “T” shaped locking plate.

METHODS: From July 2011 to July 2014, 43 patients with posterolateral tibial plateau fractures, who were treated in the Affiliated Hospital of Jining Medical University, were retrospectively analyzed. All patients were assigned to two groups according to approaches. In the Carlson posterolateral approach group, 22 cases received “T”-shaped plate insertion by Carlson posterolateral approach. In the posterior midline approach group, 21 cases received “T”-shaped plate insertion by posterior midline approach. After repair, perioperative data, fixation effects and knee function score were compared and analyzed between both groups.

RESULTS AND CONCLUSION: (1) 43 cases (43 knees) of posterolateral tibial plateau fractures were followed up strictly. (2) No significant difference in operation time, fracture healing time, total load time, Hospital for Special Surgery score at 12 months postoperatively, tibial plateau angle and posterior slope angle immediately and 12 months postoperatively was detected between both groups (P > 0.05). (3) Significant differences in fracture exposure, blood loss, and excellent and good rate of Rasmussen at 12 months postoperatively were identified in both groups. Moreover, above indexes were better in the Carlson posterolateral approach group than in the posterior midline approach group (P < 0.05). (4) These findings confirmed that for a single fracture or collapse of the posterolateral tibial plateau fractures, two kinds of surgical approaches can achieve full and direct exposure. Carlson posterolateral approach has good repair effect, fixation effect and biocompatibility.
中国组织工程研究杂志出版内容重点：人工关节；骨植入物；脊柱；骨折；内固定；数字化骨科；组织工程

Key words: Tibial Fractures, Internal Fixators, Follow-Up Studies, Tissue Engineering

Feng Chong, Jia Dai-liang, Lei Xue-feng, Zhang Gang, Xing Qi-ning. “T”-shaped locking plate for posterolateral tibial plateau fractures by Carlson posterolateral approach: 12-month follow-up[J]. Chinese Journal of Tissue Engineering Research, 2016, 20(17): 2511-2518.

Figures/Tables 6

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