ABSTRACT
Objective To investigate the clinical efficacy of double-plate fixation combined with bone graft on SchatzkerⅤ/Ⅵ tibial plateau fractures.Methods Totally 35 cases with tibial plateau fractures from April 2013 to October 2015 were selected into an observation group,and treated with dual plate fixation combined with bone graft.Another 35 cases with tibial plateau fractures from March 2011 to March 2013 were enrolled in a control group,and treated with conventional anatomical plate.The data of the two groups were analyzed.Results Pain scores in observation group were lower than those in the control group,and the knee joint function scores in observation group were higher than those in the control group (P＜0.05);the healing degree was 65.7％ in the control group,which is significantly less than that (91.4％) in the observation group (P＜0.05);the complication incidence rate was 8.6％ in the observation group which was obviously lower than that (34.3％) in the control group (P＜0.05).Conclusion Double-plate fixation combined with bone graft in the treatment of tibial plateau fracture shows a high efficacy,and is worthy of clinical application and promotion.
ABSTRACT
Objective:To evaluate the clinical effect of open reduction and internal fixation for the intercondylar distal humeral fracture with double-plate fixation.Method:A total of 26 cases with intercondylar distal humeral fracture were treated with the double-plate fixation via olecroanon approach.According to the AO/ASIF classification,there were 3 cases with C1,19 cases with C2 and 4 cases with C3.Cassebaum numerical rating system was employed to evaluated postoperative function of the involved elbow.Results:The post-operative function in 26 cases was evaluated according to the Cassebaum numerical rating system,follow-up averaged 15 months,and the results were:excellent in 19 cases(65.4%);good in 9 cases(23.1%);fair in 2 cases(7.7%);poor in 1 case(3.8%).The excellent rate was 88.5%.Conclusion:Double-plate fixation is characterized by stable fixation,minor complication and high satisfaction,and hence is an effective method for intercondylar distal humeral fracture.