Therapeutic efficacy observation on posterolateral reversed “L”shaped approach for posterolateral tibial plateau fractures

Abstract

Objective To investigate the therapeutic efficacy and experience on posterolateral reversedLshaped approach for posterolateral tibial plateau fractures. Methods From Jan. 2010 to Aug. 2013,24 cases of posterolateral tibial plateau fractures in our hospital were treated with posterolateral reversedLshaped approach and plate fixation. Seveteen cases were male and 7 cases were female with an average age of 43 years( 21-62 year).Fractures occurred on the left side in 14 cases and right side in 10 cases. Thirteen cases were from traffic accident and 11 were from falling. All patients underwent X ray and CT scan combined with three-dimensional reconstruction and some cases underwent MRI examination. Results All patients were followed up for 6-29 months with an average of 16. 9 months. In the last follow-up,all cases were evaluated with HSS score system to assess the knee function. Excellent results were found in 18 cases,good in 4 cases and fair in 2 cases,and the excellent and good rate was 91. 67%. All fractures were healed without traumatic arthritis in the last follow-up and the angle of knee activity was 100 °-130 °. Conclusion Excellent clinical results are gained while using posterollateral reversed Lshaped approach in the treatment of posterolateral tibial plateau fractures.

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