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Abstract

BACKGROUND:

Both locking plate and ordinary steel plate internal fixation can be used for the treatment of the complex fracture of tibial plateau.

OBJECTIVE:

To observe the effect of locking plate and ordinary anatomical type plate internal fixation for the treatment of complex fracture of tibial plateau.

METHODS:

118 cases of complex fracture of tibial plateau were treated with proximal tibial plate from June 2007 to June 2010. Forty-six cases were treated with locking compression plate and 72 cases were treated with anatomical type plate. The healing time and the recovery of knee function were compared after locking compression plate and atomical type plate internal fixation for the treatment of complex fracture of tibial plateau.

RESULTS AND CONCLUSION:

All the fractures of tibial plateau were healed, and the healing time was 10 to 25 weeks, the average healing time in locking plate group was 14 weeks and the the average healing time in anatomical type plate group was 16 weeks; there was no significant difference of the healing time between two groups (P < 0.01). There were two cases of open fractures incision infection in each group and healed after antibiotics application and change dressing; one case had fascia compartment syndrome in anatomical type plate group after internal fixation, and the fracture was gradually healed after incision and decompression. There were two cases of mild knee varus in anatomical type plate group and one case in locking plate group. According to the Karlstrom evaluation standard, the excellent and good rate of locking plate group was 93% and the anatomical type plate group was 79%, the excellent and good rate of locking plate group was significantly better than that of the anatomical type plate group (P < 0.05). For the treatment of complex fracture of tibial plateau, the locking plate has more advantages than ordinary anatomical type plate anatomical type plate.

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