Double-plate dual incision Schatzker V VI tibial plateau fracture in 15 cases.docVIP

 PAGE \* MERGEFORMAT 7 Double-plate dual incision Schatzker V VI tibial plateau fracture in 15 cases Of: Wu Hongjun, Hu Tingjun, Li Xiaofu, Wang Daocheng [Abstract] Objective Schatzker V, VI tibial plateau fracture. Methods of high-energy injury in 15 cases of tibial plateau fractures were treated with open reduction, internal fixation outside the double-plate holder. Results incision healed, 15 patients were followed up for 6 to 31 months, no infection, limb-ray changes, articular surface collapse from happening. bone healing time average of 6.5 months. knee function was evaluated by Ma Yuanzhang evaluation criteria, good 86.7 %. Conclusion incision double-plate fixation is the treatment of Schatzker V, VI tibial plateau fracture and effective method. [Keywords:] tibial plateau; fracture; fracture fixation, internal October 2006 ~ August 2009, 15 cases of hospital high-energy tibial plateau fractures were treated with double-incision double-plate fixation clamp, the effect is satisfactory, the report is as follows. 1 Materials and Methods 1.1 General information on 15 cases of this group of patients, 12 males and 3 females, aged 18 to 51 years. The causes of injury: 13 cases of traffic accident, falls injury in 2 cases. Injury site: 9 cases the left and right 6 cases. All patients underwent preoperative knee is lateral X ray and CT. according to Schatzker [1] type: V-10 cases, VI in 5 cases. associated injuries: anterior cruciate ligament injury in 2, medial collateral ligament injury in 1, 2 cases of compartment syndrome. 1.2 surgical epidural anesthesia. Get inside the knee joint after lateral incision. Before the posterior tibia to make a longitudinal incision to expose and reset the bone within the condyle, temporary Kirschner wire fixation, to restore pre-bent steel plate and placed supports fixed medial tibia fracture; in the anterior lateral tibial plateau to do 4 ~ 5 cm long curved incision, muscle dissection lateral tibial condyle