Locking compression plate+T-type steel plate for postoperative weight bearing and functional recovery in complex tibial plateau fractures

作     者：Hai-Feng Li Tao Yu Xing-Fei Zhu Hua Wang Ying-Qi Zhang 

作者机构：Department of Orthopaedic SurgeryTongji HospitalSchool of MedicineTongji UniversityShanghai 200065China Department of Orthopaedic SurgeryZhabei Central HospitalShanghaiShanghai 200070China 

出 版 物：《World Journal of Clinical Cases》 (世界临床病例杂志)

年 卷 期：2022年第10卷第2期

页      面：502-510页

核心收录：

学科分类：1002[医学-临床医学] 100210[医学-外科学(含：普外、骨外、泌尿外、胸心外、神外、整形、烧伤、野战外)] 10[医学] 

主　　题：Locking compression plate T-type steel plate Complexity Tibial plateau fracture Functional recovery Complications 

摘      要：Complex tibial plateau fractures can seriously affect quality of life and physical and mental health of *** anatomical relationship between the proximal tibial bone and soft tissue is complex,resulting in different types of tibial plateau *** trauma can lead to displaced fracture,serious soft tissue injury,and potentially,dislocation of the knee ***,tibial plateau fractures are extremely *** To assess the use of locking compression plate(LCP)+T-type steel plate for postoperative weight bearing and functional recovery of complex tibial plateau *** Ninety-seven patients with complex tibial plateau fractures who underwent surgery at our hospital were selected for retrospective ***-nine patients had been treated with LCP+T-type steel plate limited internal fixation(study group),and 48 patients with bilateral ordinary steel plate support(control group).The operation process index,postoperative rehabilitation related index,Rasmussen score of the knee joint,tibial plateau varus angle(TPA),tibial plateau retroversion angle(PA),and surgical complications of the two groups were *** The operation time and intraoperative bone graft volume in the study group were lower than those in the control group(P0.05).There was no significant difference in the TPA and PA angle between the groups immediately and 18 mo after surgery(P0.05).At 12 mo after surgery,the Rasmussen scale score was higher in the study group than in the control group(P0.05).The postoperative complication rate in the study group(3.77%)was lower than that in the control group(15.