Treatment of old tibial plateau fracture with tibial plateau osteotomy

VernacularTitle:胫骨平台截骨治疗陈旧性胫骨平台骨折
Author: Chunming LI ¹ ; Guangcheng LI ; Guifeng WANG ; Linglong SUN ; Wei WANG ; Jian WANG
Author Information

1. 吉林市中心医院骨科 132000
Keywords: Knee joint; Fracture fixation,internal; Osteotomy; Tibial plateau fracture
From: Chinese Journal of Orthopaedic Trauma 2019;21(5):388-391
CountryChina
Language:Chinese
Abstract: Objective To evaluate the surgical efficacy of tibial plateau osteotomy for treatment of old tibial plateau fracture.Methods From March 2007 to March 2018,18 old tibial plateau fractures were treated by tibial plateau osteotomy at the Department of Orthopedics,Central Hospital of Jilin City.They were 12 males and 6 females with a mean age of 41.2 years (from 19 to 60 years).The fracture healing time,healing rate and the Hospital for Special Surgery (HSS) score for knee function at the last follow-up were recorded.Results This series were followed up for an average of 24 months (from 12 to 36 months).Of them,17 obtained clinical healing,giving a healing rate of 94.4％.The healing time ranged from 4 to 16months (average,10 months).By the HSS score at the last follow-up,11 cases were rated as excellent,4 as good,2 as fair and one as poor.Conclusion Tibial plateau osteotomy is an effective treatment for old tibial plateau fractures.